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UPDATED KMAP BULLETIN: UPDATED Reminder of Guidance on Electronic Visit Verification (EVV) Requirements

Date: 03/13/25

KMAP GENERAL BULLETIN 23349 (PDF)

Updates are indicate by bold italics.

Effective December 3, 2023, the requirement for EVV transactions, used for home and community-based services (HCBS) and non-waiver personal care services (PCS), was extended to include home health care services (HHCS) for home health visits.

For a list of the service codes requiring EVV, please see below. Home health care service providers will continue to submit claims for their services through the KMAP portal.

Effective February 6, 2025, home and community-based services and non-waiver PCS requiring EVV must be captured in AuthentiCare and claims for these services must be submitted through AuthentiCare.

Effective March 1, 2025, “original” claims for EVV covered services not submitted through AuthentiCare will be rejected by the payors/Managed Care Organizations (MCOs). Adjustment claims can be submitted directly to the payors/MCOs.

AuthentiCare EVV Help

If you need help using the AuthentiCare EVV application, please contact our AuthentiCare vendor, Fiserv:

Authorization Help

If you need help with authorizations, please reach out to the appropriate Managed Care Organization (MCO) contacts:

Program or Policy Questions

If you have questions regarding the program or policy, please contact:

State of Kansas – KDHE.EVV@ks.gov

Note: The effective date of the policy is December 3, 2023. The implementation of State policy by the KanCare MCOs may vary from the date noted in the KMAP bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.

HCBS and Non-Waiver Codes Currently Requiring EVV

Autism Codes - Effective April 2022

  • T1005
  • T1005 U6
  • T2040 U2

Frail Elderly (FE)

  • S5125
  • S5125 UD
  • S5130
  • S5135
  • S5135 UD
  • S5190
  • T1001
  • T2025
  • T2029 - removed 1/8/2025
  • T2040 U2

Intellectually/Developmentally Disabled (I/DD)

  • H0045
  • S5125
  • S5125 U1 - added 1/8/2025
  • S5190
  • T1000
  • T1000 TD
  • T1019
  • T2025
  • T2040 U2

Physically Disabled (PD)

  • S5125 U6
  • S5125 U9*
  • T2040 U2
  • T2025

*Note: S5125 U9 does not require EVV when in a congregate setting for service dates December 2, 2023, through March 31, 2024.

Brain Injury (BI)

  • S5125 U9
  • S5125 UB
  • T2025
  • T2040 U2

Severe Emotional Disturbance (SED) - Effective August 1, 2023

  • T1019 HK

Technology Assisted (TA)

  • T1004
  • T1019
  • T2040 U2

Non-HCBS Codes - Effective September 2023

  • T1019 HE

HHCS Codes - Effective December 2023

  • 99381
  • 99382
  • 99383
  • 99384
  • 99385
  • 99391
  • 99392
  • 99393
  • 99394
  • 99395
  • 99600
  • 99601
  • 99602
  • G0156
  • G0299
  • G0300
  • S0315
  • S0316
  • S9128
  • S9129
  • S9131
  • S9460
  • T1021
  • T1023
  • T1030
  • T1031
  • T1502

HCBS - BI HHCS Codes - Effective December 2023

  • 97129*
  • 97130*
  • 97535*
  • 97537*
  • G0151
  • G0152
  • G1053
  • H0004
  • H2014

Note: Effective February 1, 2024, BI-HHCS codes 97129 and 97130 will be removed from the EVV requirement and new codes 97535 and 97537 will be added.

HCBS - TA HHCS Codes - Effective December 2023

  • T1000
  • T1001
  • T1002
  • T1004
  • T1005

Waiver and Non-Waiver In Lieu of Services – Effective February 1, 2024

  • 97535
  • 97537
  • S5135
  • S5190
  • T1000
  • T1000 TD - added 1/8/2025*
  • T1001 - removed 1/8/2025*
  • T1019

*Note: Effective January 1, 2025, Code T1001 will be removed from the EVV requirement and code T1000 TD will be added. (1/8/2025)

Non-Waiver Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), PCS, and Private Duty Nursing (PDN) - Effective January 17, 2024

  • S5125 EP
  • T1000 EP

STEPS (Support and Training for Employing People Successfully) Program Codes - Effective May 1, 2024

  • S5125 U3
  • S5125 U5
  • T2025 U3

Note: Services for the following codes may be processed through AuthentiCare but are not required:

  • FE S0315
  • FE S0317
  • FE S5185
  • PD S5185
  • TBI S5185