Become a Provider
Provider Eligibility Requirements
Register as a Provider
To register as a KLT provider, an eligible physician must complete the appropriate form below. Resident physicians must comply with all KU Medical Center policies and procedures regarding participation in the KLT program.
Malpractice Insurance for Resident Physicians and Fellows
Call (888) 503-4221 toll free
for help.
Effective July 1, 2012: All KU resident physicians and fellows are required to have individual malpractice insurance to participate in the KLT program.
To assist in reimbursement, providers doing coverages will receive an additional $200 per coverage (unlimited) that will be added to their pay on the invoice.
- Malpractice Insurance Application
- NOTICE: This application needs printed or saved in pdf format and sent to Angela Smith, Willis of Greater Kansas, Inc by fax: 316.263.6995 or email: angela.l.smith@willis.com. Do not use the Submit by Email button at the top of the application.
- Tips on completing the Malpractice Insurance Application
Primary Care Fee Schedule
KLT services are reimbursed at the coverage rates listed below, in addition to travel time at the rate of $40 per hour, mileage (at the State rate) and lodging expenses.
| Weekday (24 hrs): (prorated in 1/2 day intervals) |
$ | 1000 |
| Weekend (24 hrs): (prorated in 1/2 day intervals) |
$ | 1200 |
| Service fee (per coverage, residents and fellows only) | $ | 200 |
| Holiday pay (per day): | $ | 200 |
Upon completion of the locum tenens coverage, the resident/faculty provider submits an invoice to the rural physician or hospital that includes all charges and information as to whom the check should be made payable. The rural physician or hospital sends the remittance for the coverage to Rural Health Education and Services — Kansas City office. If the remittance is for coverage provided by a resident, the check is forwarded to the resident. If a faculty member provided the coverage, the remittance is forwarded to that faculty member's departmental Foundation. The departmental Foundation reimburses the faculty member for providing the coverage.
Specialty Care Fee Schedule


