News

KMAP BULLETIN: FQHC and RHC Physician Enrollment

Date: 05/31/19

KMAP FQHC RHC BULLETIN 19088 (PDF)

Effective July 1, 2019, all performing providers of a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC) must be enrolled with the Kansas Medical Assistance Program (KMAP) and have an active KMAP identification number.

What does this mean for FQHC and RHC providers? For FQHC/RHC performing providers already enrolled with KMAP, no further action is required. This is regardless of the enrollment type used during the application process (individual or individual within a group).

For FQHC/RHC performing providers not currently enrolled with KMAP, a new enrollment application should be submitted as soon as possible, to meet the mandatory deadline of July 1, 2019. The following criteria should be used to determine which enrollment type to complete:

• Individual: should be completed if the performing provider works for the FQHC/RHC exclusively. The tax ID of the FQHC or RHC should be supplied at the time of enrollment.
• Individual within a group (IG): should be completed if the performing provider also works for a physician group. This will allow for affiliation between the IG enrollment and any group the provider is a member of.

All claims submitted for dates of service on and after July 1, 2019, must contain the National Provider Identifier (NPI) of the rendering provider.

FQHC and RHC facilities must enroll as a facility type provider. Physician groups tied to the FQHC and RHC must enroll as group provider.

Providers can contact KMAP Provider Enrollment at 1-800- 933-6593 with any additional questions regarding physician enrollment.