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Kansas Medical Assistance Program · November 5, 2026 · Primary source

KanCare 3.0 Closed Claims Resolution Log

Score 55PRIMARYregulatoryState MedicaidKS

Summary

The Kansas Medicaid managed care program (KanCare 3.0) published its Closed Claims Resolution Log, documenting resolved billing and payment errors across all KanCare MCOs dating from early 2021. The log covers overpayments and underpayments affecting hospitals, nursing facilities, psychiatric residential treatment facilities, DME suppliers, and other provider types. Issues addressed include preventive medicine E&M codes paid in error to hospitals, NCCI MUE corrections, DRG grouper updates, COVID-19 vaccine and testing coverage, and rate adjustments for nursing facilities and mental health facilities. All listed items reflect completed systematic cleanup with reprocessing finalized.

What this may mean

Kansas Medicaid providers in the KanCare program who received overpayments on the listed claim categories have been subject to recoupment through recovery letters issued by the respective MCOs. Nursing facilities, psychiatric residential treatment facilities, hospitals, and DME suppliers are the primary affected entity types. The log confirms resolution of these payment issues and removal from the active tracking log after 30 days.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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