KMAP BULLETIN: Incontinence Supplies

Date: 08/21/18

KMAP HHA BULLETIN 18175

Effective with dates of service on and after October 1, 2018, home health agencies (HHAs) can bill incontinence supplies for beneficiaries. The provider must have documentation of a face-to-face encounter performed by a physician or approved designee as outlined in General Bulletin 17111.

Supplies are defined as health care-related items that are consumable or disposable; or that cannot withstand repeated use by more than one individual; and that are required to address an individual medical disability, illness, or injury.

This policy will expand coverage of specified incontinence supplies for HHAs. Reference the Home Health Agency Fee-for-Service Provider Manual for a list of covered incontinence supplies and a list of acceptable incontinence diagnosis codes. The coverage criteria for incontinence supplies for KAN Be Healthy - Early and Periodic Screening, Diagnostic, and Treatment (KBH-EPSDT) remains the same.

Note: The effective date of the policy is October 1, 2018. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.