Requesting Authorizations
ValueOptions® of Kansas providers are to submit authorizations using the Kansas Client Placement Criteria (KCPC) system which is based on the medical necessity criteria identified by American Society of Addiction Medicine (ASAM). KCPC refers to the standardized, computer-based assessment tool which gathers biopsychosocial information for a Member utilizing criteria established by ASAM for determining the level of treatment a Members needs. Value Options staff reviews an authorization submitted via the KCPC and makes a medical necessity decision and returns an approval or denial. Providers will continue to submit the minimum data set on the KCPC (as designated by the blue diamonds) on all members for the purpose of collecting data maintained on the SRS Health Care Policy Member information system. This minimum data set does not include member identifying information and provides critical information for state planning and advocacy.
NOTE: Authorization of services is not a guarantee of payment. Payment depends on a number of factors including member eligibility or provider contract status.
