340B Program and Kansas Medicaid


ALL Kansas Medicaid (Applies to FFS and MCOs) Guidance:

340B Provider Claim Identification, Drug Rebate Invoicing Process, and 340B Provider Requirements:

Bulletin #21138
https://www.kmap-state-ks.us/Documents/Content/Bulletins/21138%20-%20General%20-%20340B%20Provider_Claim_Identification_and_Drug_Rebate_Invoicing_Process.pdf

Billing Codes for Point-of-Sale Claims:

Fee-For-Service (FFS) & Managed Care Organization (MCO) Billing Codes

Outpatient Prospective Payment System (OPPS) Ambulatory Surgical Center (ASC) Claim Modifiers:

Bulletin #17287
https://www.kmap-state-ks.us/Documents/Content/Bulletins/17287%20-%20Hospital%20-%20Modifiers.pdf

FFS Specific Information:

Fee-For-Service (FFS) Reimbursement and Billing Information:

Provider Bulletin #17075
https://www.kmap-state-ks.us/Documents/Content/Bulletins/17075%20-%20Pharmacy%20-%20Reimbursement.pdf

Provider Bulletin #17269 (Dispensing Fee update)
https://www.kmap-state-ks.us/Documents/Content/Bulletins/17269%20-%20Pharmacy%20-%20NADAC.pdf

MCO- Specific Information:

MCO Billing, Dispensing Fee, and Reimbursement Information:
(Same as Non-340B claims.)