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Billing Information

KDADS Contacts

KDADS Manuals

Billing Outline-Written outline of how to bill for Autism Waiver Services
Outline of Billing Process

Billing Example-Screen prints of the actual screen you will see when submitting claims for Autism Waiver services with steps to complete and reminders.
Billing Example

Common Billing Errors-Locating common errors on the screen such as missing place of service, denied claim, and searching for paid or denied claims in the claim inquiry.
Common Billing Errors

Common Billing Questions

I am a new HCBS provider and I billed last week, I am showing I should be getting a check but I have not got it yet. Why? There is a three to four week waiting period for HCBS providers to get their first check. If it has been past a month and you have not received a check please contact KMAP Customer Service.

What is the payment schedule? Claims processed by 5 p.m. on Friday are typically finalized for payment the following week on Thursday periodically the State delays a payment delay due to a holiday or other event.

Why do I have to change my password so often? The system will prompt you to change your password every 30 days for security purposes.

Your account will be locked out if you do not log on in 90 days or if you mistype your password three times. To reactivate your account, the contact person associated with the user name must call the KMAP Customer Service Center.

New providers will receive a letter with a PIN. This PIN will expire 90 days after the letter is generated. You must call the KMAP Customer Service Center if the PIN has expired.

Troubles with Billing
Call EDS Help Desk

Check Eligibility through KMAP After logging on to the secured Web site, click on the Eligibility Verification link. Enter one of the following:

  • Beneficiary’s ID number in the ID field or
  • Beneficiary’s Social Security number in the SSN field and the date of birth in the Date of Birth field or
  • Beneficiary’s last name in the Last field, first name in the First field, and date of birth in the Date of Birth field, respectively
Click Search

Benefit Plan Effective End
TITLE XIX (MEDICAID) 08/01/2007 08/30/2007
Prepaid Inpatient Health Plan 08/01/2007 08/30/2007
Prepaid Ambulatory Health Plan 08/01/2007 08/30/2007
Health Connect 08/01/2007 08/30/2007

Eligibility
Benefit Plan – The description of the benefit plan in which the beneficiary is enrolled.
Effective / End Date – The date the benefit plan went into effect and the end date (MM/DD/CCYY).
Prepaid Inpatient Health Plan- The description of the Substance Abuse provider.
Effective / End Date – The date the benefit plan went into effect and the end date (MM/DD/CCYY).
Prepaid Ambulatory Health Plan- The description of the Mental Health provider.
Effective / End Date – The date the benefit plan went into effect and the end date (MM/DD/CCYY).

Resubmit Claim – Denied Claims Only

  1. Access the denied claims from the Claim Inquiry window using the Claim Status field.
  2. Once you identify the denied claim to correct, open the claim by single clicking on the corresponding ICN link.
  3. The claim will display and allow you to change the information as needed.
  4. Once you have entered the correct information, TAB to exit the corrected field and click Re-Submit.

Adjust Claim – Paid Claims Only

  1. Access the paid claims from the Claim Inquiry window using the Claim Status field.
  2. Once you identify the paid claim to adjust, open the claim by clicking on the corresponding ICN link.
  3. Make any corrections, TAB to exit the corrected field, and click Adjust.
You cannot adjust a previously adjusted claim.
You cannot adjust a claim that is more than 24 months old.
Note: If the claim cannot be adjusted using the Web site, a paper adjustment form is required. See the General Billing Manual, Section 5600 for information regarding filing a paper adjustment.

Void Claim – Paid Claims Only

  1. Access the paid claims from the Claim Inquiry window using the Claim Status field.
  2. Once you identify the paid claim to void, open the claim by clicking on the corresponding ICN link. The corresponding claim will display.
  3. Scroll to the bottom of the claim and click Void.
A new window appears stating the void was completed. This action creates an account receivable for the amount previously paid. The account receivable will be deducted from a future warrant.

Copy Claim – Paid Claims Only (Very Useful Tool for Recurring Billing)

  1. Access the paid claims from the Claim Inquiry window using the Claim Status field.
  2. Once you identify the paid claim to copy, open the claim by clicking once on the corresponding ICN link. The corresponding claim will display.
  3. Scroll to the bottom of the claim and click Copy Claim. A new window will appear with an exact copy of the previously paid claim’s data.
  4. Make any changes to the copied version of the claim and click Re-Submit.
Note: It is important to verify whether you are adjusting an existing claim or copying a previously paid claim to submit as a new claim. Adjusting previously paid claims may result in KMAP taking back money.

First time logging on to the KMAP Secured Site:

** You will not be able to access the Secured Website until you have received a letter from KMAP. In this letter you will receive your PIN issued by KHPA which will allow you access.**
  1. Access the KMAP website at https://www.kmap-state-ks.us .
  2. Select the log on box entitle First time here.
  3. Type in your 10-characeter provider ID number in the LOG ON ID box.
  4. Type in your PIN that was issued from KHPA in the PIN box.
  5. Click Log On. The Provider Account Maintenance window will display.
  6. Create a User Name and Password. In the Account Maintenance window please create a user name and password that is unique for your provider.
    Password Hints: Your password must be 6 letters followed by alpha numeric characters. No other password combinations will be allowed. You will be required to change your password every 90 days
  7. Type in all contact information including security questions and answers. This information will be used to verify you as the user if you are ever locked out of your account. Only the user’s name that is listed can reset the password, if this information is not filled in KMAP Customer Service will not be able to reset your password.
Once you have completed these steps you can LOG ON in the All Ready a Member section.

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