KMAP BULLETIN: Rates for DMEPOS Items

Date: 12/13/18

KMAP GENERAL BULLETIN 18254 (PDF)

Effective with dates of service on and after January 1, 2019, the Kansas Medicaid rates for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items on the Medicare fee schedule will be set at 65% of the non-rural Medicare rate. The rates will be updated on an annual basis to reflect this percentage.

Note: The effective date of the policy is January 1, 2019. 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.