Skip to Main Content

On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

KMAP BULLETIN: HCBS PCS in Congregate Settings Exempt from EVV Requirement

Date: 03/01/24

KMAP GENERAL BULLETIN 24025 (PDF)

Effective with dates of service retroactive to December 3, 2023, the Home and Community Based Services (HCBS) Physical Disability (PD) and Frail Elderly (FE) Personal Care Services (PCS) provided in a licensed assisted living, residential health care, home plus, or boarding care facility will be exempt from the Electronic Visit Verification (EVV) requirement. PCS provided in congregate settings are currently identified by using S5125 UA for HCBS/FE.

For agency directed PCS on the HCBS/PD waiver, EVV is not required for S5125 U9 in congregate settings for service dates December 3, 2023, through March 31, 2024. Instead, beginning with dates of service on and after April 1, 2024, HCBS/PD will use S5125 UA for PCS provided in congregate settings, which is exempt from EVV requirements. Reimbursement for S5125 UA will be the same as agency directed HCBS/PD PCS (S5125 U9), currently $4.55 per unit.

Note: The rates noted in this bulletin are subject to future changes. Providers should check the Kansas Medical Assistance Program (KMAP) website for the most up-to-date rates.

Note: The effective date of the policy is December 3, 2023. The implementation of State policy by the KanCare MCOs may vary from the date noted in the 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 HCBS FE Feefor-Service Provider Manual and Section 8400, page 8-10; HCBS PD Fee-for-Service Provider Manual, Section 8000, page 8-15.