Reconsideration Period Policy Update

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Beginning July 1, 2025, Kansas Medicaid is implementing a policy that changes how reconsideration windows work for members submitting a late review. The change is sunsetting flexibilities Kansas Medicaid adopted during the COVID-19 Public Health Emergency (PHE). 

Important Details:
  • Late reviews will now be treated as a new application.
    • Kansas Medicaid may not be able to backdate coverage due to program eligibility.
    • To be considered for backdated coverage, members must respond "yes" to the questions, "If this person is applying, do they need help paying medical bills from the last 3 months?"
      •  Members should only select yes if they have incurred medical bills after their coverage stopped.
  • Submitting renewals on time and keeping contact information updated is the best way to mitigate any potential gap in coverage. 

 

Frequently Asked Questions

How do I know when my review is due?
What happens if I return my renewal after my due date?
I have medical expenses, but my coverage has ended. Will they be covered?
How do I make sure I don't have a gap in coverage?
My review was due before July 1, 2025, but it’s still being processed by the KanCare Clearinghouse. Will my coverage be impacted?
I submitted my review but realized I need prior medical coverage. What do I do?
Where is the prior medical coverage question on the renewal?
I'm not sure I submitted my renewal on time. How can I check?
I lost my coverage, but I returned my review before July 1, 2025. Will I receive backdated coverage?
I am losing my coverage on July 1, 2025. Will I be eligible to have my coverage backdated?
I submitted my renewal, but was told I needed to submit additional information. Will this impact my coverage?