KanCare: Reinventing Medicaid for Kansas

Providers

Pharmacy Information
  •    PDL-Preferred Drug List
     
  •    DUR-Drug Utilization Review Program
     
  •    Billing Reference Sheet
     
  •    General Pharmacy Guide
     
  •    NDC Coverage Lookup - Use the KMAP Secure Web portal to verify the member’s benefit plan. When using the NDC Search Tool, use either TXIX or the ADAP benefit plan to query general KanCare coverage. Pricing information and limitations on this website may not be applicable to the KanCare health plans. Information provided does not guarantee coverage or payment, as these are based on the beneficiary’s eligibility or other restrictions.
     
  •    DME Stakeholder Call- Bi-weekly calls have been moved to the first Thursday of every month from 9-10am, participant toll-free dial in # (855) 795-6874. The purpose of these calls is for providers to address specific DME issues and for the MCO’s to address resolution. The current issues log can be seen here. The next call is scheduled for Thursday, February 6th at 9 a.m.


Amerigroup of Kansas, Inc.

Sunflower State Health Plan

UnitedHealthcare of the Midwest



    Click here for Fee for Service Pharmacy Information