Important provider notices & bulletins

Aetna Better Health of Kansas publishes KDHE and Aetna bulletins containing up-to-the-minute information you may need to know from our regulators, new coding/claims processing rules, or any other new plan information. Our goal is to keep you as well informed about our plan as possible. Be sure to check this page often.

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5.28.20 Gender Restriction for ICD-10 Diagnosis Code Update

5.28.20 Expansion with Select Telemedicine Allowed Codes/Home Setting

5.28.20 Prior Authorization Updates

5.26.20 KMAP Provider Enrollment Wizard System Upgrade Complete

5.21.20 Future Drug Coverage Through Home Infusion Services

5.19.20 Clarification of Written Consent Documentation Requirement for Telemedicine

5.19.20 Enrollment Types, NPI Requirements, and MCO Contracting Request Form Notifications

5.19.20 KMAP Provider Enrollment System Upgrade

5.14.20 Coverage of COVID-19 Antibody Testing and Use of High Throughput Technology During COVID-19 Emergency

5.13.20 Disaster Emergency Exceptions - I/DD Telemedicine Services During COVID-19 Emergency

5.13.20 Update to DRG Grouper Version 37

5.13.20 Telemedicine Billing Guidelines During COVID-19 Emergency

5.13.20 UPDATED - Expand Telemedicine to HCBS Services During COVID-19 Emergency

5.13.20 Indian Health Services (IHS) Enrollment

5.13.20 Preferred Drug List Update

5.13.20 Midwife Billing for Newborn Home Visits

5.13.20 UPDATED - KMAP CMS 1500 Form Update

5.13.20 HCBS Disaster Emergency Exceptions - Specialized Medical Care During COVID-19 Emergency

5.5.20 COVID-19 Stimulus Funds for HCBS Beneficiaries and Residents of Long-Term Care Facilities

5.5.20 UPDATED - KMAP CMS 1500 Form Update

5.5.20 HCBS Disaster Emergency Exceptions - Specialized Medical Care During COVID-19 Emergency

5.5.20 Midwife Billing for Newborn Home Visits

5.5.20 Preferred Drug List Update

5.5.20 Indian Health Services (IHS) Enrollment

5.5.20 Disaster Emergency Exceptions - Personal Care Services During COVID-19 Emergency

5.5.20 KDHE Promoting Interoperability Program News and Notes

5.5.20 HCBS Disaster Emergency Exceptions - Day Supports and Residential Service During COVID-19 Emergency

5.5.20 UPDATED - Smoking and Tobacco Cessation Counseling

5.5.20 HCBS Background Check Exceptions During COVID-19 Emergency

4.30.20 - Allowance of Additional Mental Health Crisis Intervention Codes via Telemedicine During COVID-19 Emergency

4.28.20 - Spanish Sterilization Form Available on KMAP

4.28.20 - KanCare All MCO HCBS 2020 Training

4.24.20 KMAP General Bulletin: KanCare Closed Claims Resolution Log

4.24.20 KMAP General Bulletin: KanCare 2.0 Claims Resolution Log

4.24.20 KMAP General Bulletin: UPDATED - Additional Telemedicine Coverage for BI Waiver Services During COVID-19 Emergency

4.24.20 KMAP General Bulletin: Expansion of Telemedicine Services for Therapy Services During COVID-19 Emergency

4.22.20 KMAP General Bulletin: Wheelchair Seating Assessment Codes Allowed by Telemedicine During COVID-19 Emergency

4.20.20 KMAP General Bulletin: COVID-19 Public Health Emergency Temporary Waivers

4.20.20 KMAP General Bulletin: Revision to April 2020 NCCI PTP and MUE Files - Telemedicine and COVID-19 Related Services

4.20.20 KMAP General Bulletin: Telemedicine Updates in Response to COVID-19 Emergency

4.20.20 KMAP General Bulletin: Sequestration Reduction - RHC, FQHC and Indian Health Centers

4.20.20 KMAP General Bulletin: Additional E/M Codes Allowed via Telemedicine During COVID-19 Emergency

4.13.20 COVID-19 Drug Shortage - Albuterol Inhalers

4.13.20 KMAP General Bulletin: Tobacco Cessation Counseling via Telemedicine During COVID-19 Emergency

4.13.20 KMAP General Bulletin: Additional Telemedicine Coverage for BI Waiver Services During COVID-19 Emergency

4.13.20 KMAP General Bulletin: SED Waiver Codes Allowed via Telemedicine During COVID-19 Emergency

4.13.20 KMAP General Bulletin: Retail and Physician Administered Drug Plan for COVID-19

4.13.20 KMAP General Bulletin: Additional Codes Added to Telemedicine During COVID-19 Emergency

4.9.20 KMAP General Bulletin: New Newborn CPT Codes

4.9.20 KMAP LEA Bulletin: LEA Billing Requirements

4.7.20 KMAP General Bulletin: Hysterectomy Documentation Requirements

4.7.20 KMAP General Bulletin: Expansion of Telemedicine Services Allowed by ECI and LEA Providers During COVID-19 Emergency

3.31.20 KMAP General Bulletin: Coverage of COVID-19 Testing and Treatment

3.31.20 KMAP General Bulletin: MCO Non-Network Provider Participation Requirements Update in Response to COVID-19 Emergency

3.31.20 KMAP General Bulletin: Kansas Medicaid Retail Pharmacy Disaster Preparedness Plan

3.31.20 KMAP General Bulletin: Sequestration Reduction - RHC, FQHC and Indian Health Centers

3.31.20 KMAP General Bulletins: HCPCS Changes - April 2020

3.26.20 KMAP General Bulletin: OneCare Kansas Guidance During COVID-19 Public Health Emergency

3.26.20 KMAP General Bulletin: HCPCS Changes - April 2020

3.24.20 KMAP General Bulletin: MAPIR Webinar

3.24.20 KMAP General Bulletin: MAPIR Application Deadline Extended

3.24.20 KMAP General Bulletin: All MCO Meeting Cancelled

3.24.20 KMAP General Bulletin: Telemedicine Updates in Response to COVID-19 Emergency

3.24.20 KMAP General Bulletin: KanCare Telemedicine Reimbursement Update

3.24.20 KMAP General Bulletin: KMAP COVID-19 Message

3.24.20 KMAP General Bulletin: Coronavirus (COVID-19) Coverage - Updated

3.20.20 KMAP General Bulletin: External Independent Third-Party Review

3.16.20 KMAP General Bulletin: Coronavirus (COVID-19) Coverage

3.11.20 KMAP General Bulletin: Total Parenteral Nutrition (TPN) Solution Pricing

3.11.20 KMAP General Bulletin: CPT Code Update

3.11.20 KMAP General Bulletin: Environmental Scan Survey

3.11.20 KMAP General Bulletin: Prior Authorization Updates

3.11.20 KMAP General Bulletin: NCCI/MUE Editing January 2020 - Revised

2.26.20 KMAP General Bulletin: MAPIR 6.2 Attestation Instructions 

2.26.20 KMAP Hospital Bulletin: DRG Reimbursement Clarification 

2.26.20 KMAP HCBS Bulletin: Updated - Adding Services for AuthentiCare Coverage 

2.26.20 KMAP General Bulletin: NPI Effective Date Update 

2.18.20 KMAP Hospital Bulletin: 2020 MS-DRG Weights and Rates Update 

2.14.20 KMAP Bulletin: Expansion of Brain Injury Waiver
 

2.14.20 KMAP Bulletin: PD Crisis Exception Policy

2.06.20 KMAP Bulletin - Preferred Drug List Update

1.28.20 KMAP Bulletin Reminder Telemedicine Requirements

1.28.20 KMAP Bulletin MAPIR 6.2 Upgrade

1.28.20 KMAP Bulletin Adding Services for AuthentiCare

1.17.20 KMAP Bulletin 2020 MS-DRG Weights and Rates

1.17.20 KMAP Bulletin Cognitive Therapy Code Changes

1.17.20 KMAP Bulletin Peer Support 10 Percent Increase

1.17.20 KMAP Bulletin KEES Transition to OCI

1.17.20 KMAP Bulletin HCPCS Changes - Annual 2020

1.17.20 KMAP Bulletin KMAP Welcome Letters

1.17.20 KMAP Bulletin Newborn CPT Code

1.17.20 KMAP Bulletin Non-Covered Code for Title XXI

1.17.20 KMAP Bulletin PA Updates January 2020

1.17.20 KMAP Bulletin Preferred Drug List Update January 2020

1.17.20 KMAP Bulletin MCO Non-Risk Payment

1.17.20 KMAP Bulletin KEES Transition to Oracle Cloud Infrastructure (OCI)

1.17.20 KMAP Bulletin New DRG Groupers for 2020

1.17.20 KMAP Bulletin 2020 CDT HCPCS Updates

1.28.20 KanCare All MCO Spring 2020 Invitation

1.28.20 HPV Vaccinations Webinar - 1/30/20

1.28.20 Joint MCO Bulletin - HCBS Provider Qualifications Audit Process

1.28.20 Provider Notice - Remittance Advice Training Webinars 2020

1.09.20 Provider Notice - Prior Authorization Tool

1.2.20 Aetna Executive Webinars Announcement New Dates for 2020

12.23.19 Cognitive Therapy Code Change

12.23.19 Provider Application Fee Update

12.23.19 C-Code Updates

12.23.19 HCBS Provider Qualifications

12.23.19 2020 Anesthesia Conversion Factor

12.23.19 90-Day Supply Maintenance Drug List

12.23.19 Medicare Part D Copay Assistance Update

12.23.19 REMINDER - Provider Enrollment Managed Care Regulation Implementation Update

12.23.19 PRA MUE Change

12.20.19 ABHPN Transition of Care Extension to 3.31.20

12.20.19 Aetna Cultural Competency Webinar Dates Announcement

12.18.19 Aetna Better Health of Kansas Cultural Competency Provider Training

12.9.19 PRA MUE Change

12.3.19 Preferred Drug List Update

12.3.19 NCCI/MUE Editing - January 2020

12.3.19 REMINDER - NCCI PTP Modifiers

12.2.19 Provider Enrollment Managed Care Regulation Implementation Update

12.2.19 Non-Registered Provider Return Claim Notification

12.2.19 Claims Timely Filing Exception for 2019 

11.27.19 ABHPN Check Run Schedule Holidays 2019

11.27.19 Final Notice Overpayments & Recoveries

11.26.19 ABHPN Provider Notice Overpayments

11.25.19 ABHPN Overpayments and KanCare Log

11.20.19 Swing Bed Rate for 2020

11.20.19 Newborn Hearing Screening Billing

11.19.19 ABHPN Overpayment Error

11.19.19 ABHPN Billing UOS

11.15.19 Prior Authorization Updates

11.15.19 External Independent Third-Party Review

11.15.19 Enroll in EFT and ERA Today to Get Paid Quicker

11.11.19 Aetna Resumes Provider Overpayments & Recoveries

11.11.19 Aetna Executive Webinar Presentation

11.4.19 Aetna Better Health® of Kansas Provider Town Hall Meetings Announced

11.1.19 Preferred Drug List Update

11.1.19 MCO Payment of Flu Vaccines for Adults through Pharmacy Benefit

10.30.19 Coverage of Diagnostic and Screening Mammography

10.29.19 Skygen Provider Notice - Covered Anesthesia Code for Dental Services

10.29.19 Skygen Provider Notice - Remove PA for Vision Services Codes

10.29.19 Skygen Provider Notice - Dental and Vision Claims with TPL

10.28.19 Provider Townhalls Announced

10.25.19 HCPCS Nusinersen Updates

10.25.19 KMAP Provider Revalidation Reminder

10.24.19 Removal of Prior Authorization for Oxygen-related Codes Effective 11/01/19

10.24.19 Executive Webinars Announced – New Dates

10.17.19 HCPCS Code Billing Updates

10.17.19 Revenue Code Change for LTC Room and Board

10.17.19 Removal of PA for T1001 and H2016

10.17.19 Removal of PA for Nursing Facility/Custodial Care and Intermediate Swing Bed Services

10.11.19 Provider Overpayments & Recoveries

10.10.19 Home and Community Based Service Providers Individual Enrollment

10.8.19 Aetna Transition of Care Authorizations Extended through December 31, 2019

10.3.19 Remove PA Psych Testing and Eval

10.2.19 Transition of Care Extension Update

10.2.19 CLIA

10.1.19 Prior Authorization Updates

10.1.19 Preferred Drug List Update

10.1.19 HCPCS Updates October 2019

10.1.19 Hospice Payment Rates FFY 2020

10.1.19 Medicare Unacceptable Principal Diagnosis Codes

10.1.19 Patient Discharge Status and Occurrence Codes

10.1.19 HCPCS Hydroxyprogesterone Caproate Updates

10.1.19 Check Run Errors 9.24.19

9.26.19 Explanation of Benefit Codes

9.26.19 Enteral Formula and Parenteral Nutrition Solution Pricing Update

9.16.19 Maternity Centers Billing on UB04 Form

9.12.19 HCBS Background Check Policy

9.10.19 Managed Care Organization Contract Request Form

9.10.19 Preferred Drug List Update

9.3.19 Enhanced Provider Search for Opioid/Specialized Expertise Providers

8.30.19 NCCI MUEs Quarterly Updates

8.30.19 Extending the Transition of Care Period Through 10.31.19

8.30.19 Removal of PA for Targeted Case Management (T1017)

8.27.19 Dental Procedure Codes Rate Increase

8.27.19 Check Run Schedule Labor Day Week 

8.22.19 HCBS Traumatic Brain Injury Waiver Transitions

8.22.19 HCBS Physical Disability Waiver Transitions

8.19.19 Updated for Providers Regarding Aetna Integrated Services Plan

8.8.19 KanCare All MCO Fall 2019 Training 

8.1.19 Preferred Drug List Update

8.1.19 Monthly Webinar Training

7.28.19 Childrens Mercy Intergrated Care Solutions

7.24.19 Bariatric Surgery

7.19.19 KMAP CRL Post Implementation

7.17.19 Trichloroacetic Acid Treatment in LHDs

7.17.19 Ordering, Referring, Attending, Prescribing, and Sponsoring Provider Requirements

7.17.19 Oral Sedation for Dental Procedures

7.16.19 Aetna Better Health of Kansas Weekly Bulletin

7.16.19 Rate Increase

7.13.19 June Presentation

7.8.19 2019 HCPCS Updates

7.8.19 Provider Notice Aetna Secure Provider Portal

7.2.19 Preferred Drug List Update 

6.28.19 Supportive Housing Services

6.27.19 Managed Care Rule Provider Enrollment

6.27.19 Provider Corrected Claims Process

6.25.19 HCBS 2020 Reimbursement

6.25.19 Important Changes for Prescribing Providers and Pharmacies

6.25.19 Utilization Review Contractor

6.25.19 CMHC Autism Enrollment

6.25.19 Fluoride Treatment in LHDs

6.24.19 Provider Meeting Invitation

6.19.19 All MCO Spring Aetna Presentation

5.20.19 835's on Change HealthCare's Payment Manager

3/8/2019 UPDATE: Provider Enrollment Managed Care Regulation Implementation update

Extension of Certain Transitional Care Practices

2-26-19 Member Portal Revision related to updates to the IVR system

2-26-19 Notice of Updates to Benefits and Claims Payments 02/26/2019

Notice to HCBS Providers Related to Load and Auths v6

 

We want to help keep you informed about the health plan and other news that's useful to you. Please check back periodically for important notices and updates to the Aetna Better Health of Kansas plan.

7.27.20 Billed Charges Required for All Service Lines

7.20.20 Reminder of Billing POA Indicators on Inpatient Claim

7.6.20 Overpayment Recovery Schedule 070620

7.2.20 Incontinence Supply Limit Changes

6.18.20 ABHKS Changes in Prior Authorization/Precertification and Admissions Protocols

6.10.20 ABHKS Reminder on Billing Interim Inpatient Hospital Claims

5.19.20 New Address for Provider Grievances, Appeals and Reconsiderations

5.15.20 ABHKS COVID-19 Update - PA and Admission Protcols

5.15.20 ABHPN Check Run Schedule Memorial Day

4.21.20 ABHKS COVID-19 Update - PA and Admission Protocols

4.10.20 ABHKS Provider Notice - FQHC/RHC Open Forum June 2020

3.31.20 ABHKS Provider Notice - COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification and Admissions Protocols

3.27.20 ABHKS Provider Notice - Update Your Address through KMAP to Stop Delays in Payment due to Returned Checks

3.24.20 ABHKS Provider Notice - Retroactive Enrollment

3.20.20 ABHKS Provider Notice - Executive Updates Webinars - New Dates for April - June 2020

 

3.20.20 ABHKS Provider Notice - HCBS Open Forum June 2020

3.20.20 ABHKS Provider Notice - New Provider Orientation - New Dates for April - June 2020

3.20.20 ABHKS Provider Notice - Provider Portal Webinars - New Dates for April - June 2020

3.20.20 Provider Notice - Billing Code 41899

3.16.20 ABHKS Provider Notice: Provider Townhalls March 2020 Amended

3.13.20 ABHKS Provider Notice - HCBS Open Forum March 2020

3.11.20 ABHKS Provider Notice - FQHC/RHC Open Forum - March 2020

 

2.27.20 ABH KS Provider Notice: Provider Town Halls Announced Spring/Summer 2020

2.21.20 ABHKS Provider Notice: Sign Up for Email Alerts

2.21.20 ABHKS Provider Notice: Reminder Transition of Care Period Ends 3/31/20

2.20.20 ABHKS Provider Notice: New Remittance Advice

2.13.20 HCAIP Reductions Implemented

2.07.20 Removal of Prior Authorization for Code 58340

2.05.20 Provider Overpayments & Recoveries - Amended Dates 

8.3.20 Dental Rate Increase

7.31.20 Prior Authorization Updates

7.31.20 Preferred Drug List Update

7.31.20 UPDATED - COVID-19 Public Health Emergency Temporary Waivers

7.31.20 Home Health Regulatory Revisions

7.28.20 Coverage of CPT Code 64635

7.24.20 Enteral Formula Pricing Methodology Change

7.24.20 The CMS Team Provided a Medicaid & CHIP Provider Relief Fund Update

7.24.20 HHS To Begin Distributing $10 Billion in Additional Funding to Hospitals in High Impact COVID-19 Areas and Extending the Timeline for Eligible Medicaid and CHIP Providers, Including Dentists, to Apply for a Funding Distribution to August 3, 2020

7.22.20 REMINDER - HCBS Background Check Policy

7.22.20 REMINDER - HCBS Provider Qualifications Audit Process

7.22.20 OneCare Kansas Health Action Plan Bonus Clarification

7.14.20 Expansion of Mastectomy Coverage for Males

7.7.20 HCPCS Code Update - July 2020

7.7.20 Application Fee Waived During COVID-19 Emergency

7.7.20 NCCI-MUE Editing - July 2020

7.7.20 CARES Act Provider Relief Fund - Don't Wait - Apply Now!

7.7.20 HCBS Provider Retainer Payments

7.6.20 UPDATED - MCO Non-Network Provider Participation Requirements Update in Response to COVID-19 Emergency

7.6.20 PACE Rates July 2020

7.6.20 HCPCS C-Code Update - July 2020

7.1.20 UPDATED - Prior Authorization Updates

7.1.20 UPDATED - Preferred Drug List Update

7.1.20 Tamsulosin® Gender Edit Update

7.1.20 UPDATED - Dental Codes Allowed by Telephone During the COVID-19 Emergency

6.25.20 UPDATED - Additional Telemedicine Coverage for BI Waiver Services During COVID-19 Emergency

6.25.20 Updated Coverage of Wheelchair Seating Assessments for Medicaid Members

6.25.20 KanCare All MCO HCBS 2020 Virtual Training

6.25.20 UPDATED - Retail and Physician Administered Drug Plan for COVID-19

6.23.20 UPDATED - COVID-19 Drug Shortage - Albuterol Inhalers

6.23.20 UPDATED - COVID-19 Public Health Emergency Temporary Waivers

6.23.20 UPDATED - Telemedicine Updates in Response to COVID-19 Emergency

6.23.20 UPDATED - OneCare Kansas Guidance During COVID-19 Public Health Emergency

6.23.20 UPDATED - Expansion of Telemedicine Services Allowed by ECI and LEA Providers During COVID-19 Emergency

6.23.20 UPDATED - Additional Codes Added to Telemedicine During COVID-19 Emergency

6.23.20 UPDATED - Tobacco Cessation Counseling via Telemedicine During COVID-19 Emergency

6.23.20 UPDATED - SED Waiver Codes Allowed via Telemedicine During COVID-19 Emergency

6.23.20 UPDATED - Additional E/M Codes Allowed via Telemedicine During COVID-19 Emergency

6.23.20 UPDATED - Expansion of Telemedicine Services for Therapy Services During COVID-19 Emergency

6.23.20 UPDATED - Wheelchair Seating Assessment Codes Allowed by Telemedicine During COVID-19 Emergency

6.23.20 UPDATED - Allowance of Additional Mental Health Crisis Intervention Codes via Telemedicine During COVID-19 Emergency

6.18.20 RHC/FQHC Global Billing

6.18.20 Medical Benefit Coverage for Thyrogen®

6.16.20 Coverage for Low Dose Lung CT

6.16.20 CARES Act Relief Fund for Providers

6.9.20 Coverage Guidance and Rate Updates for CPT Codes 81229 and 81243

May 2020 Post Implementation

6.4.20 Preferred Drug List Update

6.4.20 Coverage Guidance and Rate Updates for CPT Codes 81229 and 81243

6.2.20 COVID-19 Testing and Treatment Services for Members with Unmet Spenddown 

6.2.20 UPDATED - Coronavirus (COVID-19) Coverage 

6.2.20 Rate Adjustments for COVID-19 Testing 

6.2.20 CLIA Certification

 

 

 

 

We publish a monthly provider newsletter throughout the year. Just click on the links below to see current and previous issues.

June 2020 Provider Newsletter

May 2020 Provider Newsletter

April 2020 Provider Newsletter

Winter 2020 Provider Newsletter

JANUARY 2019 Provider Newsletter