Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)

Eligibility Policy - 10/16/2021

08000 >>> 08300 >>> 8341

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8341 No Eligibility - For instances where there was no eligibility, the claim is calculated based on whether or not the coverage was provided as managed care or fee for service.

a. Managed Care – The amount of the capitated payment made each month,
b. Fee for Service – The amount of the paid claims;

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