KMAP BULLETIN: Post Implementation – CHG0072848

Date: 04/01/26

This is a one-time notification regarding Item Reference Number(s) CHG0072848 on the KMAP Open Claims Resolution Log.

The log can be found on the Bulletins Search page of the KMAP provider website located at:
https://portal.kmap-state-ks.us/PublicPage/Public/Bulletins/

To view the Item Reference Number, open the documents titled KMAP Open Claims Resolution Log and refer to the Item Reference Number column in the Underpayments System Corrected/Updated heading section. For future notifications of underpayments, please refer to the updated postings of the KMAP Open Claims Resolution Log.

Item Reference Number: CHG0072848

Date Added: 09/29/2025

Affected Area: General Provider

System Status: System corrected on 03/10/2026

Reprocessing Plans: Pending providers claim resubmission by 05/04/2026

Post Implementation Date: N/A

Comments:

Item Reference Number CHG0072848 is regarding claims which were manually priced and later adjusted allowed $0.00 on the details which were originally manual priced. These details should have suspended again for manual pricing, if necessary, rather than allowing $0.00. This caused claims to be underpaid. This affected all adjusted claims processed between 04/04/2022 through 03/10/2026. The correction was made to the KMAP system on 03/10/2026.

Providers who submitted claims which were manually priced and later adjusted allowed $0.00 on the details which were originally manual priced have the option of adjusting any affected claims if they choose. Providers will have 30 days from the notification of this bulletin to resubmit their claims or request their claims be adjusted.

If you have any questions or wish to have the Fiscal Agent adjust impacted claims, please contact KMAP Customer Service at 1-800-933-6593 and provide reference number CHG0072848.

Claims processed beyond the eight quarters (24 months) will be the responsibility of the provider to reprocess/adjust. Notification will be published to providers (through the KMAP Open Claims Resolution Log) when issues have been resolved. Providers will then have the option of resubmitting or adjusting any affected claims if they choose. Claims within the eight quarters will be systematically reprocessed.

Since the claims processed beyond the eight quarters will be for dates of service older than 24 months, refer to Section 5100 of the General Billing Provider Manual for instructions on resubmitting/adjusting these claims. Please include the item reference number from the KMAP Open Claims Resolution Log with your request. Providers will have 30 days from the notification of this bulletin to resubmit claims which are beyond eight quarters. If claims are received after 30 days, timely filing will not be approved for bypass.

If a claim must be corrected and resubmitted, follow these instructions:

OLDER THAN 24 MONTHS OLD: If the dates of service on the claims are older than 24 months, please resubmit corrected paper claims to the address at the end of this letter following the guidelines outlined in section 5100 of the General Billing Provider Manual. Include the reference number, located at the end of this letter, on the required cover letter mentioned in the guidelines.

Please send any corrected claims that require timely filing override to:

Kansas Medical Assistance Program

Office of the Fiscal Agent

Timely Filing Coordinator

PO Box 3571

Topeka, KS 66601-3571

If you have any questions, please contact KMAP Customer Service within 30 days of receipt of this bulletin at 1-800-933-6593 and provide the applicable reference number CHG0072848.