Kan. Medical Assistance Program Hospice Fee-for-Service Provider Manual, Part II Introduction

Updated 02/18

This is the provider specific section of the manual. This section (Part II) was designed to provide

information and instructions specific to hospice providers. It is divided into three subsections: Billing

Instructions, Benefits and Limitations, and Appendices.

The Billing Instructions subsection gives information on completing and submitting the billing form

applicable to hospice services.

The Benefits and Limitations subsection defines specific aspects of the scope of hospice services

allowed within the Kansas Medical Assistance Program (KMAP).

The Appendix subsection contains information concerning codes. The appendices were developed to

make finding and using codes easier for the biller.

Access to Records

Kansas Regulation K.A.R. 30-5-59 requires providers to maintain and furnish records to KMAP upon

request. The provider agrees to furnish records and original radiographs and other diagnostic images

which may be requested during routine reviews of services rendered and payments claimed for KMAP

consumers. If the required records are retained on machine readable media, a hard copy of the records

must be made available.

The provider agrees to provide the same forms of access to records to the Medicaid Fraud and Abuse

Division of the Kansas Attorney General’s Office upon request from such office as required by K.S.A.

21-3853 and amendments thereto.

Confidentiality & HIPAA Compliance

Providers shall follow all applicable state and federal laws and regulations related to confidentiality as

part of the Health Insurance Portability and Accountability Act (HIPAA) in accordance with section 45 of

the code of regulations parts 160 and 164.