MedicaidCoverageMedium impact
KMAP BULLETIN: MAT Injectable Products Coverage Update
Kansas Medicaid (KanCare)·KS · Psychiatry, Family Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Apr 1, 2023
We identified it
Jun 21, 2026
Summary
KMAP updated coverage for Brixadi (J0576) and MAT injectable products, retroactive to April 1, 2023. Key changes include coverage under both medical and pharmacy benefits, REMS program compliance requirements, and billing restrictions preventing G2068 and 80348 codes within 14 days of each other.
Action Required
Immediately: Billing team must update system to prevent billing codes G2068 and 80348 within 14 days of each other for MAT services. Verify Brixadi (J0576) claims are processed under appropriate medical or pharmacy benefits based on administration setting. Ensure all REMS Program requirements are documented for Brixadi administration. Review Mental Health Fee-for-Service Provider Manual Section 8400 for complete billing guidelines.