KMAP BULLETIN: Coverage Limitations for Intermittent Urinary Catheters

Date: 06/01/19

KMAP GENERAL BULLETIN 19091 (PDF)

Effective for dates of service on and after June 1, 2019, intermittent urinary catheter limitations will be increased for codes A4351, A4352, and A4353 to a combined total of 150 per month.

Limitations for code A4332 will increase to 150 per month.

Note: The effective date of the policy is June 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.

For the changes resulting from this provider bulletin, view the updated DME/Medical Supply Dealer Fee-for-Service Provider Manual, Section 8420, page 8-74; and Home Health Agency Fee-for-Service Provider Manual, Section 8400, page 8-31.