MedicaidReimbursementHigh impact
KMAP BULLETIN: Rate Changes for Physician Administered Drugs – October 2024
Kansas Medicaid (KanCare)·KS·Claims & Billing
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid updated reimbursement rates for physician-administered drugs to align with Medicare Part B pricing methodology, effective October 1, 2024. This affects billing rates for PADs but excludes unlisted procedure codes and maintains special pricing for high-dollar rare disease drugs and LARC products.
Action Required
Immediately: Billing team must verify updated Medicaid reimbursement rates for all physician-administered drugs in billing system to reflect new Medicare Part B pricing methodology. Check KanCare MCO implementation status on KMAP Bulletins page as implementation dates may vary by MCO. Monitor for any reprocessing requirements once policies are fully implemented by each MCO.