At HTRC, we work to make information accessible. Please consult this table for common questions about Kansas telemedicine reimbursement for Kansas Medicaid (KanCare) and private insurance. However, this is meant as a quick reference guide only. For more nuanced questions, please call HTRC at 877-643-HTRC (4872).
|Is telemedicine reimbursed?||Yes. However, KanCare has three payers and policies vary among the three. Consulting provider must bill codes with GT modifier. Originating site uses code Q3014.||Kansas has no parity law but most insurance companies in Kansas cover telemedicine. However, reimbursement may not be the same as in-person services. May not cover facility fees.|
|Patient location||Kansas does not limit reimbursement based on patient location and allows reimbursement for home-based telehealth.|
|Provider location||Any licensed provider contracted with KanCare||No limit|
|Provider types||Kansas does not specify provider types covered.|
|Reimbursement amount||-The provider site payment is the same as face-to-face services|
-The patient site can bill for a telemedicine facility fee.
|-The provider site payment is the same as face-to-face services
-Not all private insurers cover facility fees for the patient site.
|Telemedicine forms covered||All three cover interactive video conferencing. Office visits, individual psychotherapy and medication management can be billed. Sunflower covers home telemonitoring.|
For more information about Kansas reimbursement, see pages 2-25 of the Fee-for-Service Provider Manual.