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Kansas Medicaid reimbursement rates

76,901 current fee-for-service and managed-care rates from Kansas Medicaid, across 115 services and 16 programs, normalized by code, provider level and unit. Each links to one of 275 official source documents.

Last retrieved 2026-10-05. History back to 1972-08-01.

Current rates
76,901
Services
115
Programs
16
Lines with a plan rule
20of 21 service lines

By industry

Kansas rates by service

The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$43.7515 min$175.003
ABA assessment support by a technicianABA / autism services$31.2515 min$125.003
ABA parent and caregiver trainingABA / autism services$37.5015 min$150.003
ABA therapy with plan changes by an analystABA / autism services$24.0015 min$96.003
Group ABA therapy led by a technicianABA / autism services$8.3515 min$33.403
Group ABA therapy led by an analystABA / autism services$8.3515 min$33.403
One-on-one ABA therapy by a technicianABA / autism services$16.2515 min$65.003
Behavioral health services (fee schedule)Behavioral health$25.0015 min$72.0479
Community-based wraparound servicesBehavioral health$22.6215 min$90.481
Family support (behavioral health)Behavioral health$7.3515 min$29.402
Intensive outpatient program (behavioral health)Behavioral health$537.11——1
Mental health assessment (non-physician)Behavioral health$157.98——4
Mental health service plan developmentBehavioral health$50.35——4
Opioid treatment program medication dosing (non-methadone MAT)Behavioral health$321.69——2
Outpatient psychotherapy and diagnostic evaluationBehavioral health$73.68—$102.0764
Peer support (behavioral health)Behavioral health$27.84——1
SUD case managementBehavioral health$27.84——2
SUD residential treatment (per day)Behavioral health$375.00day—1
Therapeutic foster care (child)Behavioral health$156.04day—1
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$7.58day—1
Dental servicesDental$98.01——708
Durable medical equipmentEquipment & supplies$45.02—$64.362092
Enteral and parenteral nutritionEquipment & supplies$11.77day—87
Medical suppliesEquipment & supplies$6.55——1255
Orthotics and prostheticsEquipment & supplies$396.01—$95.762397
Adult day servicesOther home & community services$43.29half day—2
Assistive technology assessmentOther home & community services$101.75hour$101.751
Assistive technology support (training and set-up)Other home & community services$12.4015 min$49.601
Automated medication dispenser installationOther home & community services$27.18one time—1
Automated medication dispenser monthly serviceOther home & community services$19.99month—6
Brain injury rehabilitation services (Medicaid program)Other home & community services$1,400.00day—1
Case management / support coordinationOther home & community services$18.75—$75.003
Emergency response system installationOther home & community services$74.01one time—2
Emergency response system monitoringOther home & community services$29.20month—4
Extra child care for children with disabilitiesOther home & community services$2.2315 min$8.902
Family caregiver training and supportOther home & community services$8.7815 min$35.124
Financial management services (self-direction)Other home & community services$155.52month—7
HCBS rate-model component (formula input, not a billable fee)Other home & community services$20.75hour—4
Home-delivered mealsOther home & community services$6.04meal—1
Independent living skills trainingOther home & community services$22.5715 min$38.624
Nurse wellness counseling visitOther home & community services$54.84visit—3
Nursing assessmentOther home & community services$30.00——7
Positive behavioral interventions and supportOther home & community services$25.0015 min$100.002
Respite care (daily)Other home & community services$122.68day—1
Respite care (hourly)Other home & community services$4.1815 min$16.708
Self-direction coaching / supports brokerOther home & community services$18.7515 min$75.001
Home health aide visitHome health$10.1315 min$40.525
Home health nurse visit (RN or LPN)Home health$20.0015 min$67.4813
Home health occupational therapyHome health$39.00day—2
Home health physical therapyHome health$50.00day—2
Home health speech therapyHome health$40.00day—2
Home health telemonitoring (daily monitoring or installation)Home health$50.00one time—4
Home health visit (other or unspecified)Home health$18.75—$63.7416
Hospice continuous home care (hourly)Hospice$60.00hour$60.00210
Hospice end-of-life visit add-on (per hour)Hospice$15.0015 min$60.00420
Hospice general inpatient care (daily)Hospice$1,057.76day—210
Hospice inpatient respite (daily)Hospice$496.74day—210
Hospice room and board in a nursing homeHospice$100.00% of the per diem rate Medicaid pays the nursing facility—2
Hospice routine home care (daily)Hospice$181.81day—420
Hospice wage index (area factor)Hospice$0.8135——105
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$78.00——4804
Inpatient DRG relative weightHospital inpatient$1.97——772
Inpatient hospital stay (DRG base rate)Hospital inpatient$3,177.00——162
Inpatient payment adjustment factorHospital inpatient$0.1156——9
Outpatient hospital services (fee schedule)Hospital outpatient$234.00—$79.187989
Surgery center facility fee (per procedure)Hospital outpatient$300.00——10834
Benefits counselingIDD services$15.4315 min$61.721
Day habilitation / day program (IDD)IDD services$6.7015 min$26.8011
Employment explorationIDD services$11.2515 min$45.002
In-home and community living supports (IDD)IDD services$5.3415 min$21.361
Prevocational servicesIDD services$40.00hour$40.001
Residential habilitation / group home supportsIDD services$205.61day—11
Supported employment (job coaching)IDD services$12.1315 min$46.524
Supported employment follow-alongIDD services$4.5015 min$18.001
Clinical lab testsLab & pathology$18.20——4968
Nursing home stay (daily rate)Nursing facility$316.60day—289
Nursing home ventilator care (daily rate)Nursing facility$609.84day—1
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$250.46——1
Directed payment uniform increase (required MCO uplift)Other$29.00——3
Directed payment: plan payment level (% of benchmark)Other$31.80——11
Managed care capitation rateOther$6,438.63——18
Companion carePersonal care & attendant$4.2915 min$17.142
Home health aide or nurse aide care (hourly)Personal care & attendant$8.5015 min$34.002
Overnight sleep-cycle / enhanced care support (per night)Personal care & attendant$106.16day—6
Personal care / attendant care (hourly)Personal care & attendant$6.9315 min$24.2021
Physician-administered drugs (J-codes)Pharmacy$15.00——2214
Private duty nursing (hourly shifts)Private duty nursing$23.75hour$23.754
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$14.5815 min$58.3211
Anesthesia base units (per procedure)Physician & professional$5.00——822
Anesthesia conversion factorPhysician & professional$19.54——822
Physician and practitioner services (fee schedule)Physician & professional$427.88—$80.5228822
Imaging and radiologyRadiology$58.02——5123
Activity therapyTherapy (PT/OT/speech)$2.3015 min$9.202
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$13.8515 min$55.4011
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$22.4615 min$89.826
Occupational therapyTherapy (PT/OT/speech)$25.7315 min$102.9212
Occupational therapy evaluationTherapy (PT/OT/speech)$81.19——20
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$25.0315 min$100.128
Physical therapyTherapy (PT/OT/speech)$25.0015 min$100.0012
Physical therapy evaluationTherapy (PT/OT/speech)$76.93——20
Respiratory therapy at homeTherapy (PT/OT/speech)$35.00day—2
Speech-generating device evaluationTherapy (PT/OT/speech)$32.68——1
Speech-generating device therapyTherapy (PT/OT/speech)$17.19——1
Speech-language evaluationTherapy (PT/OT/speech)$74.33——24
Speech-language therapyTherapy (PT/OT/speech)$62.61—$100.008
Swallowing and feeding evaluationTherapy (PT/OT/speech)$99.78——3
Swallowing and feeding therapyTherapy (PT/OT/speech)$70.82——3
Air ambulance transportTransportation$5,153.88——42
Ambulance extras (waiting time, extra attendant, neonatal)Transportation$48.00——25
Ambulance mileageTransportation$14.28mile—36
Ground ambulance transportTransportation$447.48——108
Non-emergency medical transportation (NEMT)Transportation$10.50mile—19
Waiver transportation (to community activities)Transportation$1.35day—16
Eyeglasses and contact lensesVision & hearing$70.62——197
Hearing aids and hearing servicesVision & hearing$200.00——174

Most-compared billing codes in Kansas

Where Kansas ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceKansasAll-state medianRank
10005Physician and practitioner services (fee schedule)$79.38$79.3818 of 35
10006Physician and practitioner services (fee schedule)$35.93$44.9728 of 35
10007Physician and practitioner services (fee schedule)$177.57$150.6116 of 35
10008Physician and practitioner services (fee schedule)$82.76$73.4817 of 35
10009Physician and practitioner services (fee schedule)$311.45$180.3414 of 35
10010Physician and practitioner services (fee schedule)$137.61$102.5616 of 35
10021Physician and practitioner services (fee schedule)$104.99$67.993 of 35
10030Physician and practitioner services (fee schedule)$369.27$162.4715 of 35
10060Physician and practitioner services (fee schedule)$81.94$81.9418 of 35
10061Physician and practitioner services (fee schedule)$148.21$148.2118 of 35
10080Physician and practitioner services (fee schedule)$146.28$100.8213 of 35
10081Physician and practitioner services (fee schedule)$219.28$159.0912 of 35
10120Physician and practitioner services (fee schedule)$113.80$89.5311 of 35
10121Physician and practitioner services (fee schedule)$212.67$159.388 of 35
10140Physician and practitioner services (fee schedule)$114.13$100.2012 of 35
10160Physician and practitioner services (fee schedule)$95.60$79.2812 of 35
10180Physician and practitioner services (fee schedule)$181.19$154.2914 of 35
11000Physician and practitioner services (fee schedule)$40.98$35.2711 of 35
11001Physician and practitioner services (fee schedule)$18.75$16.0114 of 35
11004Physician and practitioner services (fee schedule)$502.69$437.268 of 35
11005Physician and practitioner services (fee schedule)$683.68$593.907 of 35
11006Physician and practitioner services (fee schedule)$622.40$548.288 of 35
11008Physician and practitioner services (fee schedule)$240.35$211.818 of 35
11010Physician and practitioner services (fee schedule)$96.49$259.6733 of 35
11011Physician and practitioner services (fee schedule)$109.63$291.1433 of 35
11012Physician and practitioner services (fee schedule)$380.09$393.7722 of 35
11042Physician and practitioner services (fee schedule)$76.21$76.2117 of 35
11043Physician and practitioner services (fee schedule)$197.43$158.677 of 35
11044Physician and practitioner services (fee schedule)$257.45$213.319 of 35
11055Physician and practitioner services (fee schedule)$41.73$20.0013 of 35
11056Physician and practitioner services (fee schedule)$48.51$29.6813 of 35
11057Physician and practitioner services (fee schedule)$53.42$38.9413 of 35
11102Physician and practitioner services (fee schedule)$59.01$65.2821 of 35
11103Physician and practitioner services (fee schedule)$29.57$32.7321 of 35
11104Physician and practitioner services (fee schedule)$73.39$77.0620 of 35
11105Physician and practitioner services (fee schedule)$34.95$38.7720 of 35
11106Physician and practitioner services (fee schedule)$91.06$95.3619 of 35
11107Physician and practitioner services (fee schedule)$41.80$46.3620 of 35
11300Physician and practitioner services (fee schedule)$58.89$42.1513 of 35
11301Physician and practitioner services (fee schedule)$71.40$55.4713 of 35

Managed care in Kansas

7 plans on record, 14 state-directed payment records, 18 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

NoticeStatusEffective
KMAP bulletin 26121: PPS Rebase for RHCs and FQHCsenacted2028-01-01
KMAP Bulletin 26136: Rate Changes for Physician Administered Drugs October 2026effective2026-10-01
KDADS CSW Budget Workbook Version 1.1 (tab '8-CSW Waiver Rates 10-1-26': CSW Rates WY1-3, Last Updated 10/1/26)effective2026-10-01
Kansas Register Vol. 45 Issue 04 (2026-01-22): Kansas Department for Aging and Disability Services: Request for Comments on New Kansas Medicaid 1915(c) Community Support Waiver (Doc. No. 053817)proposed2026-10-01
KMAP Bulletin 26087: Annual DMEPOS Rate Adjustment and Medicare Fee Schedule Updateeffective2026-07-01
KMAP Bulletin 26094: Rate Changes for Physician Administered Drugs July 2026effective2026-07-01
KMAP General Bulletin 26092 (UPDATED September 2026): HCBS Rate Changes for Fiscal Year 2027effective2026-07-01
KMAP General Bulletin 26105: Extension of Bridge Payment Policy and Updated Rates - HCBS I/DD Waiver Serviceseffective2026-07-01
KDADS NF/NFMH Medicaid rate list effective 2026-07-01effective2026-07-01
Kansas Register Vol. 45 Issue 19 (2026-05-07): Kansas Department of Health and Environment – Division of Health Care Finance: Notice of Amendment to the Kansas Medicaid State Plan for Ambulance Response, Treatment in Place, No Transport Services (Doc. No. 054133)proposed2026-07-01
CMS approved Kansas SPA KS-26-0001 (approved 2026-09-01, effective 2026-07-01)approved_cms2026-07-01
KMAP General Bulletin 26053: HCBS Brain Injury Waiver - Cognitive Therapy Billing Changeseffective2026-05-01

Frequently asked questions

Where does Kansas publish its Medicaid fee schedules?

Kansas publishes rates across 275 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Kansas publish?

76,901 rates are current across 115 services and 16 programs, with 211,935 versions on record since 1972-08-01.

Do Kansas Medicaid managed-care plans pay the fee schedule?

For 20 of 21 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.

Other states

Your Kansas rate cardYour codes, what Kansas pays, what plans must pay, and every change in 2026.
Medicaid rates by state