Pain Management – New KanCare Pre-Authorization Requirements

Pain Management – New KanCare Pre-Authorization Requirements

by abilling, March 22, 2013

As you know, KanCare is now well underway with the new payors.  As a reminder, you need to verify what procedures need to pre-authorized.  One area that DOES need to be pre-authorized is pain management for members with Amerigroup or Sunflower State Health Plan (United Healthcare does not require pre-auth for pain management services.).  Please be sure your office or facility is getting your pain management services prior authorized with Amerigroup and Sunflower.

Here are the sites to verify pre-authorization requirements:





United Healthcare:

Section 4.3 (Page 3) –



abinsights Contact Information

abinsights readers are invited to submit comments, questions, tips, and suggestions for articles on any subject related to billing, collections, coding, reimbursement, and compliance.  Send to:  Anesthesia Billing, Inc.,     P O Box 388, Newton, KS  67114-0388.  Phone 316-281-3700.  Fax 316-282-4322.

Our purpose is to help you meet inevitable challenges.  We hope to deliver practical knowledge and solutions drawn from top resources and business publications in every issue, knowledge you can use today.

Reasonable attempts have been made to be accurate.  However, medical billing, collections, coding and compliance are part science, part art, and even experts sometimes differ.  Neither Anesthesia Billing, Inc., the editors, publisher, contributors, or consultants warrant or guarantee the information contained will be applicable or appropriate in all situations.  For information specific to your practice, consult a qualified professional.

The information included in this publication is provided, among other things, to alert you to legal developments and should not be considered legal advice.  Specific questions about how this information affects your particular situation should be addressed to your attorney.

Editor:  Philip Blann (

No Comments

Leave a Reply

Your email address will not be published Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>