How to become a Medicaid provider in Kansas
To bill Kansas Medicaid, enroll through KMAP provider portal (provider enrollment), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
- Enrollment portal
- KMAP provider portal (provider enrollment)
- Steps
- 4
- Documents
- 4
- Plans listed
- 3
On this page
Kansas Medicaid enrollment at a glance
To bill Kansas Medicaid, enroll through KMAP provider portal (provider enrollment), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
- Program
- Kansas Medical Assistance Program (KMAP) / KanCare
- Enrollment portal
- KMAP provider portal (provider enrollment)
- Fiscal agent
- Gainwell Technologies (KMAP fiscal agent)
- Application fee
- Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- KMAP's fingerprint FAQ says high-risk applicants may be printed by any authorized law enforcement agency, which mails the card to KDHE/DHCF in an envelope the provider supplies; the check takes about 5-10 business days. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Enroll with KMAP through the KMAP provider portal (KMAP enrollment is required before contracting with any KanCare MCO)
- Upload the attachments required for the provider type, including the documents KMAP collects for MCO credentialing
- Complete fingerprinting through a law enforcement agency if high risk
- Choose and confirm KanCare MCO contracts in the secure KMAP portal; an MCO may ask for more credentialing documents
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Kansas routes KanCare MCO enrollment through KMAP: a provider must be KMAP-enrolled first, KMAP's enrollment application collects the attachments needed for MCO credentialing (updated March 4, 2025), and providers confirm their MCO choices in the KMAP portal. MCOs may still ask for more documents (for example, from HCBS providers). Centralized credentialing: partly — one KMAP intake feeds the MCOs, and each MCO completes its own contract.
- Plans (state list)
- Healthy Blue
- Sunflower Health Plan
- UnitedHealthcare Community Plan
Frequently asked questions
How do I become a Medicaid provider in Kansas?
To bill Kansas Medicaid, enroll through KMAP provider portal (provider enrollment), run by Gainwell Technologies. The process has 4 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Kansas Medicaid?
Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Kansas Medicaid providers revalidate?
Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.