Kansas insurance law on MNT and nutrition counseling
1 row: State insurance law · Kansas. Public policy, not the member's benefits.
Kansas insurance law
Fully insured plans (K.S.A. 40-2,163) · Kansas
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Individual or group health insurance policies, medical service plans, hospital service corporation contracts, fraternal benefit societies and HMOs providing accident and health coverage, delivered, issued, amended or renewed on or after January 1, 1999. Excludes Medicare supplement, long-term care, specified disease and accident-only coverage. [1] |
| Diagnoses | Insulin dependent, insulin-using, gestational and noninsulin using diabetes. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Subject to the same annual deductible or coinsurance and the same medical necessity requirement as other covered benefits. The commissioner of insurance enforces the act. [1] |
| Referral and prior auth | Training must be ordered by a health care professional legally authorized to prescribe it. Where a policy requires services by or upon referral from a primary care physician, that requirement applies. [1] |
| Who can bill | A certified, registered or licensed health care professional with expertise in diabetes, when the diabetic is treated at an American Diabetes Association approved program, by a person certified by the national certification board for diabetes educators, or, as to nutritional education, by a licensed dietitian under a treatment plan authorized by the prescribing professional. [1] |
- Kansas Statutes 40-2,163 Diabetes coverage act, checked October 30, 2026
What the Kansas law says
- Where it applies. Individual or group health insurance policies, medical service plans, hospital service corporation contracts, fraternal benefit societies and HMOs providing accident and health coverage, delivered, issued, amended or renewed on or after January 1, 1999. Excludes Medicare supplement, long-term care, specified disease and accident-only coverage.
- Diagnoses. Insulin dependent, insulin-using, gestational and noninsulin using diabetes.
- Visit limits. Subject to the same annual deductible or coinsurance and the same medical necessity requirement as other covered benefits. The commissioner of insurance enforces the act.
- Referral and prior auth. Training must be ordered by a health care professional legally authorized to prescribe it. Where a policy requires services by or upon referral from a primary care physician, that requirement applies.
- Who can bill. A certified, registered or licensed health care professional with expertise in diabetes, when the diabetic is treated at an American Diabetes Association approved program, by a person certified by the national certification board for diabetes educators, or, as to nutritional education, by a licensed dietitian under a treatment plan authorized by the prescribing professional.
What it means for a claim in Kansas
The law sets a floor for the plans it reaches; the plan's own policy and the member's contract still decide the codes, units and referral. On the benefits call, ask whether the plan is fully insured in Kansas, and if a covered service is denied, name the statute by section in the appeal. The sources below link to the statute itself.
Payers with their own row for Kansas: Blue KC. The state laws side by side compare Kansas with other states.