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: Deactivation of MUE Editing for BI Waiver Codes 97535 and 97537

Date: 02/23/24

KMAP GENERAL BULLETIN 24048 (PDF)

Effective with dates of service and retroactive to February 1, 2024, the National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUE) Practitioner (PRA) for procedure codes 97535 and 97537 will be deactivated for Brain Injury (BI) waiver members only. Claims denied for 97535 and 97537 for MUE limits, on and after February 1, 2024, will be reprocessed.

The NCCI MUE PRA for procedure code 97130 will no longer be overridden.

Note: The effective date of the policy is February 1, 2024. 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 HCBS BI Fee-for-Service Provider Manual, Section 8400, pages 8-1 and 8-2.