1. GOVERNING AGENCIES

Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Manages Medicaid funding, provider enrollment, and service reimbursement processes for homemaker services

Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Defines the service scope, provider requirements, and participant eligibility criteria within HCBS waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Enforces federal Medicaid guidelines for home-based services, including documentation and quality standards

Agency: Managed Care Organizations (MCOs) under KanCare
Role: Review service requests, authorize homemaker services, and oversee provider credentialing and billing

2. SERVICE OVERVIEW

Homemaker Services provide routine, non-medical support that helps participants maintain a safe, clean, and functional home environment.

Authorized providers may deliver:

• Light housekeeping (e.g., sweeping, laundry, dusting, dishes)
• Meal preparation and kitchen clean-up
• Assistance with organizing and shopping for groceries
• Bed-making and linen changes
• Escort or support with essential errands
• Monitoring for safety and household needs
• Communication and coordination with care managers or family caregivers

All services must align with the participant’s Individualized Service Plan (ISP) and be authorized through the MCO. Services are non-skilled and do not include medical tasks or personal care unless separately authorized.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Kansas Secretary of State
• Obtain IRS EIN and Type 2 NPI
• Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
• Maintain liability insurance and worker’s compensation coverage
• Develop Homemaker Services Policy & Procedure Manual
• Comply with KDADS HCBS provider standards and staff training guidelines
• Ensure HIPAA compliance, participant rights protections, and service documentation protocols

4. KANSAS PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

• Apply through KMAP as a provider of Homemaker Services
• Complete credentialing process with each KanCare MCO

Step 2: Documentation Submission

• Submit proof of business registration, insurance, policies, and staff qualifications
• Provide a detailed description of homemaker service procedures and supervision plan

Step 3: Authorization & Service Delivery

• Receive service authorization from MCO (based on ISP and level of need)
• Assign trained staff to deliver homemaker services
• Maintain progress notes and submit claims using approved HCPCS codes

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5. REQUIRED DOCUMENTATION

• Kansas Articles of Incorporation or Business License
• IRS EIN verification
• Type 2 NPI registration
• Insurance certificates (general liability, worker’s comp)

Homemaker Services Policies & Procedures Manual, including:

• Intake and service assessment templates
• Participant consent, grievance, and rights forms
• Staff training logs and supervision plans
• Progress note documentation formats
• HIPAA, safety, and infection control procedures
• Emergency and critical incident response guidelines
• Medicaid billing and audit documentation systems

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6. STAFFING REQUIREMENTS

Role: Homemaker / Home Support Aide
Requirements: High school diploma or equivalent; demonstrated experience in home care preferred; cleared background screening and training completion

All staff must complete:

• Orientation on HCBS and Medicaid rules
• HIPAA and confidentiality training
• Person-centered service delivery training
• Infection control and basic home safety procedures
• Annual continuing education on homemaker service standards

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7. MEDICAID PROGRAMS & HCBS WAIVERS

Homemaker Services are covered under:

• HCBS Waivers (with ISP and MCO authorization):
• Intellectual/Developmental Disability (IDD) Waiver
• Frail Elderly (FE) Waiver
• Physical Disability (PD) Waiver
• Brain Injury (BI) Waiver
• Technology Assisted (TA) Waiver
• Services may be delivered:
• In-home (participant’s residence)
• In supported living arrangements

Alongside other HCBS supports when authorized

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8. TIMELINE TO LAUNCH

Phase: Business Formation and Policy Manual Development
Timeline: 1–2 months

Phase: KMAP Enrollment and MCO Credentialing
Timeline: 2–3 months

Phase: Staff Hiring, Training, and Supervision Plan Setup
Timeline: 1 month

Phase: Authorization Process and Homemaker Services Launch
Timeline: 30–60 days

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9. CONTACT INFORMATION

Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.ks.gov

Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov

Kansas Medical Assistance Program (KMAP)
Website: https://www.kmap-state-ks.us

KanCare MCOs:

Sunflower Health Plan: https://www.sunflowerhealthplan.com

UnitedHealthcare Community Plan: https://www.uhccommunityplan.com/ks

Aetna Better Health of Kansas: https://www.aetnabetterhealth.com/kansas

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10. SCOPE OF WORK 

• Business registration, Medicaid and MCO enrollment
• Custom Homemaker Policy & Procedure Manual development
• Staff training modules and onboarding templates
• Service documentation systems and billing setup
• Marketing materials and website for caregiver services
• QA tools for supervision, feedback, and chart audits
• Referral networking with MCOs, discharge planners, and care coordinators