All providers wishing to enroll with an MCO must now access the application through the Provider Enrollment Wizard. This is the same application used to apply directly with Kansas Medicaid. To provide more detail, review the Provider Enrollment Guide. This resource guide is intended to provide clarification and updates to the provider enrollment requirements for Kansas Medicaid Providers.

To ensure a broad base of providers, we encourage providers to enroll with each of the KanCare plans. Due to the Managed Care Organization health plan regulations, enrollment with KMAP is required. However, while enrollment in KMAP is required, seeing Fee For Service members is not mandated. The KanCare health plans must pay at least 100 percent of the current fee-for-service Medicaid rate (as of 11/9/12) to all contracted, in-plan providers. The rate cannot decrease for the life of the KanCare contracts. You can negotiate a different reimbursement structure if you would like to do so. If you do not sign up with the KanCare health plans, you will be considered an out-of-network provider. Out-of-network providers will receive 90 percent of the current fee-for-service rates.

Applications for facilities, hospitals and HCBS providers as well as behavioral health providers are available at the Enrollment wizard page.

Additional Information

If you wish to credential/contract with the KanCare MCOs, select the MCOs you wish to be credentialed/contracted with as you complete your application. Only one application is needed, the information will be shared with the MCOs chosen. As of July 1, 2019, the KanCare MCOs started denying payments for providers who are not actively enrolled with KMAP.

How does my application get to the MCOs?

During the enrollment process, you will select which MCO(s) you wish your application and supporting documentation to be sent to for use in the MCO credentialing and contracting process. Once your enrollment with KMAP is approved, the application and all supporting documentation will be sent to a portal for retrieval/download by the MCOs.

I’m already enrolled with KMAP, when should I provide my existing KMAP ID?

Please provide your existing KMAP ID in the appropriate box. You will be asked to provide your current (active) provider ID or previous (inactive) provider ID.

Health Plan Information

The State has selected three health plans, or managed care organizations (MCOs), to provide services to Medicaid consumers in the KanCare program. More information about each plan and how to contact them is below.

AMG Information

KanCare Amerigroup Contract Update

The State of Kansas contract with Amerigroup expired December 31, 2018. Amerigroup maintained a local office until 3/31/19 to assist with the transition out of the Kansas market. As of 4/1/19, all Kansas emails and phone numbers are no longer in service. You must call the national provider assistance line, 1-800-454-3730 for assistance.

Providers have an on-going contractual relationship which survives the KanCare contract termination. Providers should use the terms of that contract for resolution of any issues or disputes. Depending upon the contract, normal provider disputes would follow the reconsideration, appeal and fair hearing pathway to resolve issues. Important to note, Amerigroup will consider a group appeal for the same issue. Please see the claims appeal form on the website below for instructions on how to do multiple claim appeals.

Please look at the bottom of this page for Amerigroup guidelines, as well as any forms which may be required:

If you have followed these procedures and still need assistance, email KanCare at KDHE.KanCare@ks.gov with appeal/fair hearing information, the amount in dispute and a description of the issue.

AMG Forms

• Claim Payment Appeal Submission Form AMG
• Reimbursement Reconsideration Submission Form AMG

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