KMAP BULLETIN: Provider Application Fee Change - 2024
Date: 12/29/23
KMAP GENERAL BULLETIN 23333 (PDF)
Per the Centers for Medicare and Medicaid Services (CMS) final rule 6028-F, state Medicaid programs must collect an application fee for new provider applications, re-enrollments (revalidations), and reactivation.
The following providers are exempt from the application fee:
- Individual providers, non-physician practitioners, or groups.
- Providers who are enrolled with Medicare.
- Providers who paid the application fee to either Medicare or another state Medicaid plan.
- Applicable provider types indicated in the matrix on page 2 of this bulletin.
The application fee for 2024 will be $709. Payment must be made in the form of check or money order to the State of Kansas - Medicaid. This amount will go into effect for any application received on and after January 1, 2024.
The enrollment fee must be paid for each provider type. The matrix on the following page indicates the application fee requirements by provider type.
Note: To waive the application fee, enrollment with or payment to Medicare must be verified through the Provider Enrollment, Chain, and Ownership System (PECOS) by the fiscal agent.
If an application fee is required and the appropriate payment is not included or is not in an acceptable format, the paperwork will be returned to the provider requesting proper payment.
The application fee will not be refunded in the event the application or revalidation is denied.
Application Fee Requirements
Owe an Application Fee?
| Provider Type | Individual | Business |
|---|---|---|
| 01 Hospital | N/A | Yes |
| 02 Ambulatory Surgical Center | N/A | Yes |
| 03 Custodial Care Facility | N/A | Yes |
| 04 Rehabilitation Facility | N/A | Yes |
| 05 Home Health Agency | N/A | Yes |
| 06 Hospice | N/A | Yes |
| 07 Capitation Provider | N/A | No |
| 08 Clinic Maternity/ Early Childhood Intervention/ Family Planning Clinic | N/A | No |
| 08 Clinic RHC/FQHC | N/A | Yes |
| 09 Advanced Practice Nurse | No | No |
| 10 Mid-level Practitioner | No | No |
| 11 Mental Health Provider | No | Yes (Business) No (Group) |
| 12 Local Education Agency | N/A | Yes |
| 13 Public Health Agency | N/A | No |
| 14 Podiatrist | No | No |
| 15 Chiropractor | No | No |
| 17 Therapist | No | No |
| 18 Optometrist | No | No |
| 19 Optician | No | No |
| 20 Audiologist | No | No |
| 21 Targeted Case Management | No | Yes |
| 22 Hearing Aid Dealer | N/A | Yes |
| 23 Nutritionist | No | No |
| 24 Pharmacy | N/A | Yes |
| 25 Durable Medical Equipment | N/A | Yes |
| 26 Transportation Provider | No | Yes |
| 27 Dentist | No | No |
| 28 Laboratory | N/A | Yes |
| 29 X-Ray Clinic | N/A | Yes |
| 30 Renal Dialysis Center | N/A | Yes |
| 31 Physician | No | No |
| 32 non-Physician | No | No |
| 42 Teaching Institution | N/A | Yes |
| 45 QMB | No | No |
| 53 Head Start Facility | N/A | Yes |
| 54 Screening Providers | N/A | Yes |
| 55 Home Community Based Services (HCBS) | No | Yes |
| 56 Work Opportunities Reward Kansans (WORK) | No | No (Agency or Non-agency) |
| 70 Data Access Entity | No | No |