Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 11/22/2024
08340
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.