Back to dashboard
MedicaidBilling CodesMedium impact

KMAP BULLETIN: Collaborative Care Model

Kansas Medicaid (KanCare)·KS · Family Medicine, General Practice, Internal Medicine +1 more·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid is implementing a new Collaborative Care Model (CoCM) billing structure effective January 1, 2025, for integrated mental health and substance use services provided by primary care teams. The policy introduces new billable procedure codes (99492, 99493, G2214, 99494, G0323) with specific rates and billing limitations for team-based care coordination services.

Action Required

Action needed
By January 1, 2025: Billing team must add new CoCM procedure codes (99492, 99493, G2214, 99494, G0323) to billing system with Kansas Medicaid rates and frequency limits. Update system to enforce monthly billing restrictions (codes 99492, 99493, G2214 limited to one combined unit per month; 99494 limited to two per month). Train providers on team-based documentation requirements including behavioral health care manager involvement and psychiatric consultant oversight.

Affected Billing Codes

99492
99493
G2214
99494
G0323