1. GOVERNING AGENCIES

Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid reimbursement, provider enrollment, and claims for community-based services

Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Defines standards for Community Integration within HCBS waivers and ensures program oversight

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal regulatory guidance and ensures Community Integration supports person-centered outcomes

Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize community-based service plans, coordinate care teams, and manage quality assurance

2. SERVICE OVERVIEW

Community Integration Services assist participants in acquiring social, communication, and daily living skills to engage fully in community life.

Approved providers may deliver:

Community-based skill development and supported outings

Socialization and peer interaction opportunities

Participation in volunteer activities, civic engagement, and clubs

Training in using public transportation and community navigation

Support in attending religious, educational, or recreational events

Coaching for appropriate social behavior and safety in public settings

Encouragement of natural support development and community memberships

All services must be tied to goals within the Individualized Service Plan (ISP) and demonstrate meaningful outcomes in inclusion and self-determination.

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Kansas Secretary of State
• Obtain EIN from IRS and Type 2 NPI
• Enroll with Kansas Medicaid through the Kansas Medical Assistance Program (KMAP)
• Maintain liability insurance and staff coverage for community settings
• Create a Community Integration Policy & Procedure Manual
• Establish risk management, safety, and participant rights procedures
• Hire staff with experience in disability services, inclusion, or community outreach
• Ensure HIPAA compliance, transportation policies, and ISP-driven documentation systems

4. KANSAS PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

• Apply as a provider of Community Integration or similar HCBS service category via KMAP
• Register with each KanCare MCO and complete credentialing

Step 2: Documentation Submission

• Submit business documents, staff training records, and service policies
• Include transportation procedures and community risk mitigation plans

Step 3: Service Authorization & Delivery

• Coordinate with case managers to set ISP goals
• Submit service requests to MCO for approval
• Deliver services in approved settings and document progress toward integration outcomes
• Submit claims using applicable HCPCS codes

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Kansas business license
• EIN and NPI verification
• General liability and auto insurance coverage
• Community Integration Policies & Procedures Manual, including:
• ISP-based goal planning and implementation protocols
• Participant safety and community supervision procedures
• Transportation guidelines and emergency response plans
• Daily progress note templates and goal-tracking forms
• Consent forms, grievance procedures, and HIPAA compliance materials
• Critical incident reporting and staff credentialing logs
• Medicaid billing and chart audit readiness tools

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6. STAFFING REQUIREMENTS

Role: Community Integration Specialist / Support Worker
Requirements: Experience in community support, disability advocacy, or education; cleared background check and driver’s license if transporting participants

All staff must complete:

• HCBS orientation and person-centered planning training
• Safety, transportation, and emergency protocol training
• Cultural competency and inclusion workshops
• Documentation and ISP goal tracking instruction
• Annual continuing education in community engagement best practices

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7. MEDICAID PROGRAMS & HCBS WAIVERS

Community Integration Services are covered under:

HCBS Waivers:

• Intellectual/Developmental Disability (IDD) Waiver
• Brain Injury (BI) Waiver
• Physical Disability (PD) Waiver
• Autism Waiver
• Frail Elderly (FE) Waiver (case-by-case)

Services may be delivered:

• One-on-one or in small group settings
• In the community (libraries, parks, volunteer sites, job fairs, etc.)
• At drop-in centers or day support locations when community access is the focus

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8. TIMELINE TO LAUNCH

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

Phase: Staff Onboarding and Medicaid Enrollment
Timeline: 1–2 months

Phase: MCO Credentialing and Community Safety Planning
Timeline: 60–90 days

Phase: ISP Coordination and Program Launch
Timeline: 30–45 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 enrollment, and MCO credentialing
• Development of Community Integration Policies and participant safety plans
• ISP goal tracking templates and documentation systems
• Staff onboarding checklists and transportation safety protocols
• Quality assurance tools for engagement outcomes and satisfaction surveys
• Branding, web presence, and community partner outreach materials

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS COMMUNITY INTEGRATION PROVIDER

We support disability service organizations, advocacy groups, and direct support agencies in developing inclusive, Medicaid-compliant Community Integration programs.

​To get started, click the link to request portal access