MedicaidAdministrativeMedium impact
KMAP BULLETIN: 2025 HCBS Provider Qualifications Audit
Kansas Medicaid (KanCare)·KS · Psychiatry, Occupational Therapy, Physical Therapy +1 more·Specialty Services
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) has delegated HCBS provider qualification audits to MCOs, with Averifi conducting comprehensive audits starting January 2025. HCBS providers must respond to Averifi's requests for employee lists and documentation to maintain network participation.
Action Required
Beginning January 2025: HCBS providers must respond promptly to Averifi audit requests via email. Maintain current lists of all employees (active, temporary, variable, paid, unpaid, volunteers, non-Kansas residents, IDD residential providers). When selected for audit, provide requested employee documentation within specified timeframes. If audit fails, immediately provide compliant results/documents and sign compliance forms indicating policy gaps will be addressed to avoid network disruption.