KS · guidance
Kan. Medical Assistance Program Hospice Fee-for-Service Provider Manual § 8400, Hospice Limitation Audits
Hospice Limitation Audits
• Limitation audits are in place to ensure accurate payment of hospice services. Kansas Medicaid
will not allow reimbursement to exceed one unit per day for the following per diem hospice level
of care codes: T2042, T2044, T2045, and T2046.
• Reimbursement of hospice level of care code combinations that are billable on the same date of
service will be allowed.
• Reimbursement for level of care code T2043 is billable when a minimum of eight hours of
continuous care is provided in a 24-hour period. Reimbursement will not exceed 24 hours of care
per day.
• SIA services for end of live care are limited to a combined total of up to 16 units per day of codes
G0155 and G0299 US, not to exceed a total of 112 units during the last seven days of hospice
care and the patient is discharged deceased.
Provenance
- Source
- portal.kmap-state-ks.us
- Retrieved
- 2026-10-02
- Edition
- kmap-hospice-2022-01-01
- Content hash
9d873261a3c06096f105705f697e8ef5c7e39af7c3819faa2c406ae9a2771c09
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