MedicaidReimbursementMedium impact
KMAP BULLETIN: Rate Changes for Physician Administered Drugs - January 2025
Kansas Medicaid (KanCare)·KS·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) updated reimbursement rates for physician-administered drugs effective January 1, 2025, aligning with CMS Medicare Part B pricing methodology. High dollar rare disease drugs and LARC products follow separate pricing guidelines with potential retroactive adjustments.
Action Required
Immediately: Billing team must verify updated Kansas Medicaid reimbursement rates for all physician-administered drugs in billing system. Review claims for high dollar rare disease drugs against General Bulletin 24232 pricing. Monitor KanCare MCO implementation status on KMAP Bulletins page as MCO system updates may vary from policy effective date.