News

NPI and Modifier Billing Requirements for CMHCs

Date: 05/18/2016

Effective with dates of service on and after April 29, 2016, for Community Mental Health Center (CMHC) KanCare claims billed by a professional level staff member who is able to obtain a National Provider Identifier (NPI), the NPI should be submitted on these claims to avoid inappropriate denials. When the rendering provider is an “atypical provider” who is not required to obtain an NPI, the CMHC will also be the performing provider.