MedicaidAdministrativeHigh impact
KMAP BULLETIN: EVV Claims Processing Guidance
Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Jan 23, 2025
We identified it
Jun 21, 2026
Summary
Effective January 23, 2025, AuthentiCare becomes the sole approved claims entry point for all services requiring Electronic Visit Verification (EVV) in Kansas Medicaid. Claims for EVV services not submitted through AuthentiCare will be denied, requiring providers to validate authorizations and visit information before submission.
Action Required
By January 23, 2025: Providers offering EVV services must transition all claims submission to AuthentiCare system. Billing team must validate authorization information including member details, service dates, diagnosis codes, ordering physician NPI, and approved units before confirming visits. Update workflows to ensure caregivers populate Place of Service data and address all critical exceptions in AuthentiCare rules review. Claims not submitted through AuthentiCare will be denied.