Medicaid FFS Review Program

The Kansas Foundation for Medical Care (KFMC) has been designated by the Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF) to provide utilization, DRG validation, and quality review services for the State of Kansas.

KFMC is a physician-sponsored organization. Our primary functions will include the operation of a review system to monitor the quality, diagnosis and procedure validation, medical necessity, discharge appropriateness, and appropriateness of health care provided.

Medicaid FFS Review Plan

KMAP Hospital Provider Manual

Information on the following topics can be found on the KMAP website

  • DRG Weights and Rates
  • Peer Groups
  • Patient Status Codes (Disposition Codes)

Contact Information

Kansas Foundation for Medical Care
785-273-2552 - Ext. 340 or Ext. 366

Kansas Department of Health and Environment, Division of Health Care Finance
785-296-3981
Website: http://www.kdheks.gov/hcf/

Medical Assistance Customer Service Center
Website: https://www.kmap-state-ks.us/
Provider: 800-933-9593
Beneficiary: 800-766-9012

If You Suspect Fraud

Contact the Kansas Attorney General’s Office Medicaid Fraud & Abuse Division at 785-368-6220.

For More Information

Call 800-432-0770 ext 366, or contact us by email.