In compliance with the Centers for Medicare & Medicaid Services (CMS) Medicaid Managed Care Final Rule 2390F and 42 CFR 438.602(b)(1), all KanCare managed care organization (MCO) network providers who receive payment for KanCare members are required to be screened and enrolled in the Kansas Medical Assistance Program (KMAP).
This federal requirement applies to all provider types and specialties and is inclusive of the billing, rendering, ordering, prescribing, referring, sponsoring, and attending providers. All network providers must be KMAP enrolled and screened prior to receiving payment from an MCO. The full timeline and transition information are detailed in MCO General
Bulletin 18131.
As of November 1, 2018, all providers are required to have a KMAP identification (ID) number in order to participate with the MCOs. Providers are encouraged to submit enrollments prior to this date to ensure there will not be any impact to claims payments once the integrated common online application and associated claims editing is implemented on January 1, 2019.
