Back to dashboard
MedicaidBilling CodesMedium impact

KMAP BULLETIN: Updated Electronic Visit Verification for In Lieu of Services

Kansas Medicaid (KanCare)·KS · Occupational Therapy, Physical Therapy·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Kansas Medicaid is updating Electronic Visit Verification requirements for In Lieu of Services (ILOS) effective January 1, 2025. Code T1001 will be removed and T1000-TD will be added to the ILOS list requiring EVV.

Action Required

Action needed
By January 1, 2025: Billing team must update system to remove code T1001 from ILOS billing options and add T1000-TD to the Electronic Visit Verification required codes list. Update encounter forms and billing software to reflect the new ILOS code list. Verify with KanCare MCOs for their specific implementation dates as timing may vary by plan.

Affected Billing Codes

97535
97537
S5135
S5190
T1000
T1019
T1001