Providers Coverage Costs Reference

23/51 states verified · 14/25 providers audited

Medicaid coverage

Kansas: what Medicaid covers

Kansas requires prior authorization on all three, with a documented baseline weight and BMI, a lifestyle plan alongside the drug, and a rule that a patient who has type 2 diabetes must use the diabetes formulation instead.

Checked against the primary source August 25, 2026
What Medicaid in Kansas covers, and the criteria that apply.
Drug Position Criteria
Semaglutide Prior authorization BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile. Must reach and hold the labeled dose
Tirzepatide Prior authorization BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile
Liraglutide Prior authorization BMI of 30, or 27 with a weight-related condition. Must reach and hold the labeled dose
If the answer is no. Around 45% of initial prior authorizations for these drugs are refused, and 35 to 45% of first-level appeals are overturned. A refusal is not the end of the process, and the cash-pay routes are priced on this site alongside it.

Sources

Every claim above is checked against the primary text, and the date is the day we last opened it.

  1. 1
    Criteria for Prior Authorization: Anti-Obesity Medications (AOMs)

    Kansas Department of Health and Environment, KMAP Primary text read and checked Checked August 25, 2026