What You Need to Know About Starting a Specific HCBS Agency in Alabama
These videos give an overview of the various Home and Community-Based Services (HCBS) available in Kansas for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Kansas. Explore each section to find the service that best matches your goals or area of interest.
Specialized Medical Equipment
SPECIALIZED MEDICAL EQUIPMENT PROVIDER IN KANSAS
EMPOWERING INDEPENDENT LIVING THROUGH CUSTOMIZED MEDICAL EQUIPMENT AND ASSISTIVE TECHNOLOGY
Specialized Medical Equipment (SME) services in Kansas provide individuals with the devices and supplies necessary to enhance functional independence, mobility, communication, and safety in the home or community. These services are available under Kansas Medicaid (KanCare) and are typically authorized through specific HCBS waiver programs.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid benefits and oversees provider enrollment and reimbursement for durable medical equipment (DME) and SME.
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Establishes service standards for SME within HCBS waivers, including definitions of covered equipment and clinical criteria.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal guidelines are met for reimbursement and medical necessity of equipment under Medicaid.
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Approve service authorizations, facilitate claims processing, and monitor care outcomes for participants receiving SME.
2. SERVICE OVERVIEW
Specialized Medical Equipment includes items not typically covered under standard DME, designed to meet specific participant needs.
Approved providers may supply:
Adaptive devices to promote self-care and independence
Environmental controls and alert systems (e.g., voice-activated lights, emergency call systems)
Mobility and transfer aids (e.g., customized wheelchairs, hoyer lifts)
Specialized communication equipment
Assistive technology tailored to the individual’s disability
Modifications to equipment to accommodate the participant’s environment or needs
All equipment must be listed in the participant’s Individualized Service Plan (ISP) and justified with supporting clinical documentation and a physician’s order.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Kansas Medicaid via the Kansas Medical Assistance Program (KMAP)
Secure general liability and product liability insurance
Submit equipment pricing and procurement policies
Employ or contract with licensed professionals (e.g., Assistive Technology Professionals, Occupational or Physical Therapists, as needed for assessments)
Ensure HIPAA compliance and develop protocols for equipment delivery, maintenance, and documentation
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through KMAP as a provider of Specialized Medical Equipment/Durable Medical Equipment
Complete credentialing with each KanCare MCO
Step 2: Documentation Submission
Provide proof of business registration, insurance, product sourcing, and maintenance capabilities
Submit staff credentials and equipment-related policy manual
Step 3: Authorization & Service Delivery
Obtain physician’s order and clinical documentation
Coordinate assessment (if required) for participant’s equipment needs
Submit service request to MCO for approval
Deliver, install, and train participant on equipment use
Submit claims using appropriate HCPCS or CPT codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas business license
IRS EIN verification
NPI registration confirmation
Proof of insurance coverage (liability/product liability)
Vendor agreements or product catalogs
SME Provider Policies & Procedures Manual, including:
Equipment delivery and maintenance policies
Intake and equipment assessment forms
Informed consent and training documentation
Recordkeeping and claims protocols
Critical incident response and equipment malfunction protocols
Staff qualifications and HIPAA compliance policies
6. STAFFING REQUIREMENTS
Role: Equipment Technician / Delivery Specialist
Requirements: Experience in medical equipment installation, maintenance, and participant training; background check clearance
Role (optional): Assistive Technology Specialist or Therapist
Requirements: Certified ATP, OT, or PT for assessments and clinical justification; licensed in Kansas
All staff must complete:
HIPAA training
Infection control and equipment sanitization procedures
Emergency response and participant safety training
Annual training on new technologies and Medicaid updates
7. MEDICAID PROGRAMS & HCBS WAIVERS
SME is covered under:
Kansas Medicaid State Plan (DME coverage)
KanCare MCO contracts
HCBS Waivers (with ISP documentation):
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Frail Elderly (FE) Waiver
Technology Assisted (TA) Waiver
Brain Injury (BI) Waiver
Autism Waiver
Delivery settings may include:
Participant homes
Adult day programs
Residential care settings
Virtual consultations for tech support or training
8. TIMELINE TO LAUNCH
Phase: Business Registration and Manual Development
Timeline: 1–2 months
Phase: KMAP Enrollment and MCO Credentialing
Timeline: 2–3 months
Phase: Staff Onboarding and Service Workflow Setup
Timeline: 1 month
Phase: Equipment Procurement and Services Launch
Timeline: 30–60 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS SPECIALIZED MEDICAL EQUIPMENT PROVIDER
WCG supports DME suppliers, home health agencies, and tech-based providers in establishing compliant SME services under Medicaid and HCBS waivers across Kansas.
Scope of Work:
Business formation and KMAP enrollment
MCO credentialing and SME policy manual development
Staff hiring templates, equipment sourcing protocols, and maintenance tracking tools
Medicaid coding, billing setup, and audit documentation preparation
Branding, website development, and referral outreach
Care coordination tools and outcomes tracking systems
Respite Care
RESPITE CARE SERVICES PROVIDER IN KANSAS
GIVING CAREGIVERS A BREAK WHILE PROVIDING SAFE, SUPPORTIVE CARE FOR PARTICIPANTS
Respite Care Services in Kansas provide short-term care and supervision for individuals with disabilities, chronic illnesses, or age-related needs when their primary caregivers are unavailable. These services are authorized under Kansas Medicaid (KanCare) through several Home and Community-Based Services (HCBS) waiver programs to prevent caregiver burnout and maintain stability in the home.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Manages HCBS waiver programs and defines standards for respite care service delivery
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid provider enrollment, eligibility, and billing under KanCare
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize respite services, review Individualized Service Plans (ISPs), and reimburse providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services comply with Medicaid regulations and HCBS principles
2. RESPITE CARE SERVICE OVERVIEW
Respite Care Services provide temporary relief for unpaid primary caregivers, ensuring continuity of care for participants in a safe and supervised setting.
Approved providers may deliver:
In-home respite care (temporary care provided in the participant’s home)
Out-of-home respite care (care provided in a licensed provider setting)
Planned respite for scheduled breaks and self-care time
Emergency or crisis respite when caregivers face unplanned absences
Overnight, hourly, or weekend care, based on service authorization
Supervision, personal care, and safety monitoring aligned with participant needs
All respite services must be included in the participant’s Person-Centered Service Plan (PCSP) and cannot overlap with other billed services.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Kansas Medicaid provider via the Kansas Medical Assistance Program (KMAP) portal
Coordinate with MCOs for credentialing and service authorization
Carry general liability and professional liability insurance
Develop policies on emergency care, safety, supervision, and documentation
Ensure staff complete background checks, CPR/First Aid training, and personal care assistance instruction
4. KANSAS PROVIDER ENROLLMENT PROCESS
Initial Application:
Enroll as an HCBS Respite Care provider through the KMAP portal
Notify KanCare MCOs (Sunflower Health Plan, UnitedHealthcare, Aetna) for credentialing and contracting
Documentation Submission:
Submit Articles of Incorporation, EIN/NPI confirmation, policy manual, insurance certificates, and training records
Program Readiness Review:
KDADS or MCOs may request a service readiness interview or program review
Approval & Medicaid Enrollment:
Upon approval, billing codes for respite services are assigned (typically by 15-minute units or daily care)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Respite Care Services Policy & Procedure Manual including:
Intake and care planning procedures
Emergency preparedness, incident reporting, and supervision protocols
HIPAA compliance, participant rights, and grievance procedures
Staff credentialing, background checks, and training logs
Medicaid billing forms, care logs, and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Respite Program Supervisor
Requirements: Background in health, human services, or caregiving coordination preferred; background check clearance
Role: Respite Care Workers / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; CPR/First Aid certification; personal care training; background screening clearance
All staff must complete:
HIPAA and confidentiality training
Emergency response and abuse prevention training
Participant safety, care documentation, and rights training
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Respite Care Services are authorized under the following Kansas HCBS waiver programs:
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Frail Elderly (FE) Waiver
Brain Injury (BI) Waiver
Autism Waiver
Technology Assisted (TA) Waiver (when applicable)
Approved providers may deliver:
Temporary supervision and personal assistance in-home or off-site
Short-term caregiver relief during planned or emergency needs
Personal care, meal prep, and mobility assistance during respite periods
8. TIMELINE TO LAUNCH
Phase: Business Formation, Policy Development, and Insurance Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Training
Timeline: 2–3 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Billing System Setup and Respite Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS RESPITE CARE PROVIDER
WCG supports caregiver agencies, direct care organizations, and HCBS service agencies in launching Medicaid-compliant Respite Care Services throughout Kansas under KanCare.
Scope of Work:
Business registration and Medicaid/MCO provider enrollment
Development of Respite Care Services Policy & Procedure Manual
Staff credentialing templates, service tracking forms, and incident logs
Medicaid billing setup and audit-compliant documentation tools
Website, domain, and caregiver-focused branding
Quality assurance systems for care monitoring and documentation review
Referral development with case managers, schools, and support coordinators
Independent Living & Skill Training
INDEPENDENT LIVING SKILLS TRAINING SERVICES PROVIDER IN KANSAS
EMPOWERING INDIVIDUALS TO LIVE WITH CONFIDENCE AND SELF-SUFFICIENCY IN THEIR HOMES AND COMMUNITIES
Independent Living Skills Training Services in Kansas help individuals with disabilities gain and strengthen the skills needed to live safely, confidently, and independently. These services are authorized under Kansas Medicaid (KanCare) through select Home and Community-Based Services (HCBS) waivers and focus on building practical, real-life capabilities that promote autonomy and quality of life.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Administers HCBS waiver programs and defines service expectations and provider requirements
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Manages Medicaid provider enrollment and reimbursement under KanCare
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize Independent Living Skills services, review ISPs, and reimburse providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring services meet HCBS 1915(c) standards
2. SERVICE OVERVIEW
Independent Living Skills Training Services support individuals in developing essential life skills that enable them to live as independently as possible in the community.
Approved providers may deliver training and support in:
Meal planning and preparation
Household cleaning and organization
Budgeting and financial literacy
Medication management and scheduling
Personal hygiene and grooming routines
Transportation use and community navigation
Communication, self-advocacy, and social skills
Safety awareness and emergency preparedness
All training is customized to the participant’s Individualized Service Plan (ISP) and delivered in-home or in a community setting to support real-life application.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Apply for HCBS waiver certification from KDADS (IDD, PD, BI, or FE)
Contract with KanCare MCOs (Sunflower, Aetna, UnitedHealthcare)
Carry general liability and professional insurance
Develop policies focused on participant safety, documentation, progress tracking, and person-centered training methods
Ensure all staff are trained and background checked
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Certification with KDADS
Submit application to become an approved provider of Independent Living Skills Training under the appropriate waiver
Complete readiness review and staff documentation review
Step 2: KMAP Enrollment
Enroll with the Kansas Medical Assistance Program as an HCBS provider
Step 3: MCO Credentialing
Contract with MCOs and follow procedures for ISP approval and service authorization
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas Business License
IRS EIN confirmation
NPI confirmation
Proof of insurance (general and professional liability)
Independent Living Skills Training Policy & Procedure Manual including:
Intake, ISP goal development, and progress documentation processes
Safety procedures and emergency protocols
HIPAA compliance, participant rights, and grievance resolution
Transportation guidelines for community-based training
Staff credentialing, background checks, and training logs
Medicaid billing forms, daily notes, and audit-ready records
6. STAFFING REQUIREMENTS
Role: Independent Living Program Supervisor
Requirements: Experience in disability services, education, or human services preferred; background screening clearance
Role: Independent Living Trainers / Support Staff
Requirements: High school diploma or GED; experience providing skill-based support; training in ISP implementation; background check clearance
All staff must complete:
HIPAA and participant confidentiality training
Abuse prevention and emergency preparedness training
Person-centered planning, ISP goal tracking, and progress documentation
Annual continuing education and performance evaluations
7. MEDICAID WAIVER PROGRAMS
Independent Living Skills Training is authorized under the following Kansas HCBS waivers:
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Frail Elderly (FE) Waiver
Autism Waiver (if included in ISP)
Authorized providers may deliver:
In-home or community-based training in life management skills
One-on-one or small group instruction
Progress monitoring toward ISP-based outcomes
Ongoing adjustments to training strategies based on participant performance
8. TIMELINE TO LAUNCH
Phase: Business Formation, Policy Manual Development, and Insurance Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and KDADS Certification
Timeline: 2–3 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Billing System Setup and Program Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS INDEPENDENT LIVING SKILLS TRAINING PROVIDER
WCG supports HCBS providers, educational agencies, and community support organizations in launching Medicaid-compliant Independent Living Skills Training programs across Kansas.
Scope of Work:
Business registration, KDADS certification, and Medicaid/MCO enrollment
Independent Living Skills Policy & Procedure Manual development
Staff credentialing templates, ISP tracking forms, and daily documentation logs
Billing system setup and Medicaid compliance tools
Website, branding, and outreach materials
Quality assurance systems for skill progression tracking, documentation audits, and client feedback
Referral network development with MCOs, schools, and disability support agencies
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN KANSAS
HELPING INDIVIDUALS WITH DISABILITIES FIND, MAINTAIN, AND SUCCEED IN COMPETITIVE INTEGRATED EMPLOYMENT
Supported Employment Services in Kansas assist individuals with disabilities in obtaining and retaining meaningful employment in community-based, integrated work settings. These services are authorized under Kansas Medicaid (KanCare) through the Intellectual/Developmental Disability (IDD) Waiver and other vocational rehabilitation partnerships. The focus is on person-centered employment planning and long-term job support.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Administers the IDD Waiver and oversees employment support standards and provider eligibility
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Handles Medicaid provider enrollment and reimbursement under KanCare
Agency: Kansas Department for Children and Families (DCF) — Rehabilitation Services
Role: Partners with HCBS programs for Pre-Employment Transition Services (Pre-ETS) and job development
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services, coordinate with ISPs, and process Medicaid payments for employment supports
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Medicaid-funded employment services comply with federal community integration standards
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services promote workforce inclusion for people with disabilities by providing individualized job coaching, retention supports, and workplace accommodations.
Approved providers may deliver:
Job development and assistance with job search, applications, and interviews
Workplace assessments and job matching based on participant strengths
Job coaching and on-site support (initial and ongoing)
Support with workplace accommodations and task modification
Social skills training and transportation coordination
Ongoing follow-along and retention support
Coordination with employers, case managers, and vocational rehab agencies
Services must align with the participant’s Individualized Service Plan (ISP) and be designed to achieve competitive integrated employment outcomes.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Apply for certification through KDADS as an HCBS IDD Waiver provider
Contract with KanCare MCOs for service authorization and billing
Maintain general liability and workers’ compensation insurance
Develop policies for service delivery, participant protection, documentation, and employer engagement
Ensure all employment specialists complete required background checks and disability employment training
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: KDADS Certification
Submit application to KDADS to become an IDD Waiver Supported Employment provider
Complete readiness review and program documentation submission
Step 2: KMAP Medicaid Enrollment
Register through KMAP as a Medicaid employment services provider
Step 3: MCO Credentialing
Contract with all three KanCare MCOs for participant referrals and ISP-driven authorizations
Step 4: Partnership (Optional):
Establish coordination agreements with DCF Rehabilitation Services for dual-funded job support programs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of insurance (general and workers’ comp)
Supported Employment Policy & Procedure Manual including:
Job development, placement, and employer engagement protocols
Documentation of services provided and progress toward employment goals
Risk management, supervision, and incident reporting procedures
Transportation coordination and time-tracking systems
HIPAA compliance, participant rights, and grievance protocols
Staff credentialing, training logs, and competency assessments
Medicaid billing records and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Employment Services Program Supervisor
Requirements: Background in workforce development, special education, or vocational rehabilitation; supervisory experience preferred; background check clearance
Role: Job Coaches / Employment Specialists
Requirements: High school diploma or GED; experience working with individuals with disabilities; job development training; background screening clearance
All staff must complete:
HIPAA and confidentiality training
Person-centered planning and ISP goal alignment
Workplace safety, abuse prevention, and employer interaction training
Annual training in customized employment, ADA, and job coaching best practices
7. MEDICAID WAIVER PROGRAMS
Supported Employment Services are reimbursable under the:
Intellectual/Developmental Disability (IDD) Waiver
Approved providers may deliver:
Initial and ongoing job support
Coaching and on-site skills development
Employer coordination and task accommodations
Community-based employment support consistent with HCBS settings rule
Other funding (non-Medicaid) may come from:
Vocational Rehabilitation (VR) Services through DCF
School transition funding for individuals under 21
8. TIMELINE TO LAUNCH
Phase: Business Formation and Policy Manual Development
Timeline: 1–2 months
Phase: Staff Hiring, Training, and KDADS Certification
Timeline: 2–3 months
Phase: KMAP Enrollment and MCO Contracting
Timeline: 60–90 days
Phase: Billing System Setup and Employment Services Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department for Children and Families (DCF) — Vocational Rehabilitation
Website: https://www.dcf.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS SUPPORTED EMPLOYMENT PROVIDER
WCG supports vocational service providers, disability employment programs, and community rehabilitation agencies in launching Medicaid-compliant Supported Employment Services across Kansas.
Scope of Work:
Business registration, KDADS waiver enrollment, and Medicaid/MCO contracting
Supported Employment Policy & Procedure Manual development
Staff credentialing tools, ISP-aligned tracking forms, and employer engagement templates
Medicaid billing system setup and documentation workflows
Website, branding, and employment support marketing
Quality assurance systems for outcome tracking, staff supervision, and participant satisfaction
Referral network development with DCF, transition coordinators, and schools
Home Care
HOME CARE SERVICES PROVIDER IN KANSAS
DELIVERING PERSONALIZED SUPPORT SERVICES TO PROMOTE DIGNITY, SAFETY, AND INDEPENDENT LIVING AT HOME
Home Care Services in Kansas offer essential personal and supportive assistance to individuals who prefer to live independently at home but require help with daily activities due to aging, disability, or medical conditions. These services are authorized through Kansas Medicaid (KanCare) under Home and Community-Based Services (HCBS) waiver programs to reduce institutionalization and improve quality of life.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid coverage, provider enrollment, and reimbursement for home care services
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Defines scope and quality standards for home care services under the HCBS waiver system
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Regulates federal Medicaid compliance and person-centered care requirements
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize home care service plans, credential providers, and process claims and outcomes reporting
2. SERVICE OVERVIEW
Home Care Services include both personal care and supportive home assistance to help individuals remain safely and comfortably in their home environments.
Authorized providers may deliver:
Assistance with Activities of Daily Living (ADLs): bathing, dressing, grooming, toileting, mobility, and eating
Light housekeeping: laundry, dishwashing, tidying, and bed-making
Meal preparation and nutritional support
Medication reminders (non-administration)
Assistance with transfers, ambulation, and positioning
Escort or supervision during appointments or errands
Safety checks and fall prevention
Respite care for family caregivers
All services must be listed in the participant’s Individualized Service Plan (ISP) and are provided in accordance with the individual’s waiver eligibility and level of care.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Kansas Medicaid through the Kansas Medical Assistance Program (KMAP)
Maintain general liability and workers’ compensation insurance
Develop a Home Care Services Policy & Procedure Manual
Employ qualified home care aides or certified nurse aides (CNAs) depending on waiver requirements
Ensure HIPAA compliance, emergency procedures, and participant safety systems
Implement staff credentialing and service documentation protocols
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Register through KMAP as a Personal Care Services or Home Health Aide provider
Credential with each KanCare MCO and complete network contracting
Step 2: Documentation Submission
Submit policies, licenses, business registration, insurance, and staff qualifications
Provide forms for intake, care documentation, and emergency protocols
Step 3: Authorization & Service Delivery
Coordinate with waiver case managers to determine ISP needs
Submit service authorizations for approval by MCO
Begin in-home care and submit claims using appropriate HCPCS codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas business license
IRS EIN confirmation and Type 2 NPI verification
General liability and workers’ compensation insurance
Home Care Services Policies & Procedures Manual, including:
Care plan templates and daily service logs
ADL checklists and fall prevention protocols
Participant intake, consent, and emergency contacts
Infection control and staff hygiene procedures
Grievance policy and participant rights forms
Staff orientation, background checks, and training logs
HIPAA and incident reporting procedures
Medicaid billing documentation and audit-ready records
6. STAFFING REQUIREMENTS
Role: Home Care Aide / Personal Care Assistant
Requirements: Experience in caregiving; CNA preferred or required for certain waiver services; background check clearance
Role (optional): Supervisor / RN Oversight (if required under HCBS rules)
Requirements: Licensed Registered Nurse (RN); responsible for care plan oversight and aide supervision
All staff must complete:
Orientation on Medicaid, HCBS waivers, and participant rights
HIPAA and confidentiality training
Emergency procedures and infection control training
Annual continuing education and competency checks
7. MEDICAID PROGRAMS & HCBS WAIVERS
Home Care Services are reimbursed through:
HCBS Waivers (based on individual needs and ISP):
Frail Elderly (FE) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Intellectual/Developmental Disability (IDD) Waiver
Technology Assisted (TA) Waiver
Service settings include:
Participant’s home
Assisted living or group home (if not otherwise staffed)
Community outings and events, when part of ISP goals
8. TIMELINE TO LAUNCH
Phase: Business Registration and Policy Development
Timeline: 1–2 months
Phase: Staff Hiring and Medicaid Enrollment
Timeline: 1–2 months
Phase: MCO Credentialing and Intake Readiness
Timeline: 60–90 days
Phase: Service Launch and Claims Setup
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HOME CARE PROVIDER
WCG partners with entrepreneurs, caregiver agencies, and support organizations to launch HCBS-compliant Home Care programs that deliver compassionate in-home support services across Kansas.
Scope of Work:
Business registration, Medicaid and MCO enrollment
Development of Home Care Services Policy & Procedure Manual
Intake forms, daily care logs, and staff supervision systems
CNA hiring guides and continuing education resources
HIPAA, safety, and critical incident reporting tools
Medicaid billing setup and compliance support
Branding, website, and referral strategies targeting hospitals, waiver coordinators, and senior service centers
Personal Care
PERSONAL CARE SERVICES PROVIDER IN KANSAS
SUPPORTING DAILY INDEPENDENCE FOR INDIVIDUALS THROUGH ASSISTANCE WITH ROUTINE LIVING TASKS
Personal Care Services in Kansas help individuals with disabilities, chronic health conditions, or age-related needs perform essential daily tasks. These services are provided under Kansas Medicaid (KanCare) through various Home and Community-Based Services (HCBS) waiver programs. The goal is to support participants in maintaining their independence and avoiding institutional placement.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid eligibility, provider enrollment, and reimbursement
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Manages HCBS waiver programs and defines service guidelines for Personal Care Services
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services, develop participant care plans, and reimburse providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Personal Care Services meet quality, safety, and compliance standards under Medicaid
2. PERSONAL CARE SERVICE OVERVIEW
Personal Care Services include non-medical, hands-on assistance with everyday tasks required to live safely at home and in the community. Services must be part of the participant’s Person-Centered Service Plan (PCSP).
Approved providers may deliver:
Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, toileting, grooming, eating, and mobility
Help with Instrumental Activities of Daily Living (IADLs) like meal preparation, laundry, light housekeeping, and medication reminders
Supervision and cueing for individuals with cognitive impairments
Transfer and mobility assistance within the home
Basic health observation and reporting of changes to supervisors
Community support related to functional needs, when authorized
All services must be delivered in accordance with the participant’s service authorization and may not duplicate services provided by informal supports.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP) portal
Maintain general liability and professional liability insurance
Develop service delivery, safety, documentation, and participant protection policies
Ensure compliance with background checks and staff training standards
4. KANSAS PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Apply through the KMAP portal as a Personal Care Services provider
Notify the appropriate MCOs (Sunflower Health Plan, Aetna Better Health of Kansas, and UnitedHealthcare Community Plan) to initiate credentialing
Documentation Submission:
Submit Articles of Incorporation, EIN/NPI, liability insurance, policy manual, and training verification
Readiness Review:
KDADS or MCOs may conduct a readiness review, including assessment of documentation systems, staff files, and service protocols
Approval & Medicaid Enrollment:
Upon approval, billing codes are assigned, typically for 15-minute service units
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Personal Care Services Policy & Procedure Manual including:
Participant intake, care plan implementation, and task tracking procedures
Incident reporting, infection control, and emergency preparedness policies
Confidentiality, participant rights, and grievance handling protocols
Staff training records, background checks, and supervision logs
Medicaid billing forms, service logs, and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Personal Care Services Program Supervisor
Requirements: Experience in healthcare, social services, or personal assistance program oversight preferred; background check required
Role: Personal Care Aides / Attendants
Requirements: High school diploma or GED preferred; CPR/First Aid certification encouraged; completion of personal care training; background check clearance
All staff must complete:
HIPAA compliance and participant rights training
Emergency response, abuse prevention, and infection control training
ADL/IADL task training aligned with participant support needs
Annual evaluations and continuing education updates
7. MEDICAID WAIVER PROGRAMS
Personal Care Services are authorized under the following Kansas HCBS waiver programs:
Frail Elderly (FE) Waiver
Physical Disability (PD) Waiver
Intellectual/Developmental Disability (IDD) Waiver
Brain Injury (BI) Waiver
Technology Assisted (TA) Waiver
Approved providers may deliver:
In-home assistance with ADLs/IADLs
Supervision and behavioral prompting when necessary
Mobility and transfer support
Short-term and ongoing personal care support aligned with the PCSP
8. TIMELINE TO LAUNCH
Phase: Business Registration and Documentation Development
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Policy Finalization
Timeline: 2–3 months
Phase: KMAP Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Billing Setup and Personal Care Service Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS PERSONAL CARE SERVICES PROVIDER
WCG supports personal care agencies, independent care providers, and Medicaid service organizations in launching Personal Care Services across Kansas under KanCare.
Scope of Work:
Business formation, Medicaid enrollment, and MCO credentialing
Personal Care Services Policy & Procedure Manual development
Staff credentialing tools, ADL/IADL task logs, and supervision templates
Medicaid billing system setup and audit-readiness support
Website, domain, and professional branding services
Participant intake documentation and compliance workflow design
Quality assurance systems for service tracking, grievances, and performance review
Referral development with discharge planners, care coordinators, and case managers
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN KANSAS
DELIVERING CLINICALLY COMPLEX, MEDICALLY NECESSARY CARE TO INDIVIDUALS IN THEIR HOME OR COMMUNITY SETTING
Skilled Nursing Services in Kansas provide high-level, medically necessary care administered by licensed nurses to individuals with acute or chronic health conditions. These services are offered under the Kansas Medicaid (KanCare) State Plan and certain Home and Community-Based Services (HCBS) waivers to support recovery, manage medical conditions, and prevent institutionalization.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Manages Medicaid eligibility, provider enrollment, and billing for Skilled Nursing Services
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Coordinates with HCBS waiver programs and monitors provider compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure compliance with Medicaid and Medicare nursing care standards
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize and reimburse services, manage care planning, and ensure provider compliance with participant care needs
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services consist of clinical care provided by Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) under physician orders to treat, monitor, or manage health conditions in a non-institutional setting.
Approved providers may deliver:
Medication administration, injections, and IV therapies
Wound care, catheter care, and tracheostomy management
Ventilator monitoring and respiratory support
Gastrostomy tube feeding and nutritional care
Chronic condition management (e.g., diabetes, heart disease, seizures)
Health education and caregiver training
Medical assessments and health status monitoring
All services must be documented in the participant’s physician-approved Plan of Care (POC) and align with KanCare or waiver service authorizations.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain applicable licensure as a Home Health Agency from KDHE (if providing care outside a facility)
Enroll as a Kansas Medicaid provider through the Kansas Medical Assistance Program (KMAP) portal
Maintain malpractice, general liability, and professional liability insurance
Develop clinical care, documentation, emergency, and infection control policies
Ensure nursing staff are licensed, trained, and background checked
4. KANSAS PROVIDER ENROLLMENT PROCESS
Licensing and Credentialing:
Apply for licensure as a Home Health Agency with KDHE (if care is provided at home)
Complete surveys or inspections as needed
Medicaid Enrollment:
Apply through KMAP to become a Medicaid Skilled Nursing Services provider
Coordinate credentialing with KanCare MCOs: Sunflower Health Plan, Aetna Better Health, and UnitedHealthcare
Authorization & Billing Setup:
Secure physician’s orders and Plan of Care
Submit authorization requests to MCOs
Begin billing for authorized skilled nursing services using appropriate CPT/HCPCS codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency license (if applicable)
Proof of malpractice and liability insurance
Skilled Nursing Services Policy & Procedure Manual including:
Care plan development and medical necessity documentation
Medication administration and clinical procedure protocols
Emergency and infection control procedures
Participant rights, HIPAA compliance, and grievance protocols
Staff licensure records, background checks, and training logs
Medicaid billing documentation, clinical progress notes, and audit-ready records
6. STAFFING REQUIREMENTS
Role: Skilled Nursing Supervisor / Director of Nursing
Requirements: Active Kansas RN license; supervisory experience; background check clearance
Role: Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Requirements: Active Kansas license; CPR/BLS certification; training in home-based or community-based clinical procedures; background screening clearance
All nursing staff must complete:
HIPAA and client confidentiality training
Infection control and universal precautions
Medication administration and clinical documentation training
Emergency response and abuse prevention training
Ongoing continuing education and skills evaluation
7. MEDICAID COVERAGE & HCBS WAIVERS
Skilled Nursing Services are covered under:
Kansas Medicaid State Plan
KanCare MCO Plans
HCBS Waivers (based on participant need):
Technology Assisted (TA) Waiver
Brain Injury (BI) Waiver
Physical Disability (PD) Waiver
Intellectual/Developmental Disability (IDD) Waiver (in certain cases)
Frail Elderly (FE) Waiver
Authorized services may include:
Intermittent or continuous nursing care
Medically necessary procedures not requiring hospital admission
Participant-specific support aligned with Plan of Care
8. TIMELINE TO LAUNCH
Phase: Business Registration, Policy Manual Development, and Licensing
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Compliance Training
Timeline: 1–2 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Billing System Configuration and Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS SKILLED NURSING SERVICES PROVIDER
WCG supports home health agencies, nursing providers, and clinical service organizations in launching Medicaid-compliant Skilled Nursing Services across Kansas.
Scope of Work:
Business registration, Medicaid enrollment, and KDHE licensure guidance
Development of Skilled Nursing Policy & Procedure Manual
Staff credentialing templates, care documentation tools, and Plan of Care templates
Billing system setup and compliance tools
Website, domain, and clinical service branding
Quality assurance systems for supervision, documentation, and clinical outcomes
Referral development with hospitals, discharge planners, and KanCare case managers
Habilitation Services
HABILITATION SERVICES PROVIDER IN KANSAS
SUPPORTING SKILL DEVELOPMENT AND DAILY LIVING INDEPENDENCE FOR INDIVIDUALS WITH DISABILITIES
Habilitation Services in Kansas provide structured, goal-oriented supports that help individuals with disabilities acquire, maintain, and improve functional skills for everyday life. These services are authorized under Kansas Medicaid (KanCare) through the Intellectual/Developmental Disability (IDD) Waiver and are essential for fostering independence, self-direction, and community integration.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Oversees the IDD Waiver and defines service standards and provider requirements for habilitation supports
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid provider enrollment, reimbursement, and eligibility determination
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize habilitation services through ISP planning and process claims
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring services meet HCBS regulations under 1915(c) waivers
2. HABILITATION SERVICE OVERVIEW
Habilitation Services provide individualized, community-based support that builds skills related to daily living, safety, communication, and social participation.
Approved providers may deliver:
Residential Habilitation (24/7 or scheduled support in a home setting)
Day Habilitation (center- or community-based group skill-building)
Individual Habilitation Support (one-on-one training for ADLs/IADLs)
Life skills training (hygiene, cooking, home management)
Social and communication skills development
Community participation and integration coaching
Safety awareness, health management, and behavior support implementation
Assistance with achieving ISP goals and outcomes
All services must align with the participant’s Individualized Service Plan (ISP) and be documented in accordance with HCBS program standards.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for certification as an IDD Waiver provider through KDADS
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Coordinate credentialing with KanCare MCOs (Aetna, UHC, Sunflower)
Maintain general liability, professional, and workers’ compensation insurance
Develop policies for ISP implementation, documentation, safety, and abuse prevention
Ensure staff complete background checks, training, and HCBS compliance requirements
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: KDADS Certification
Apply to KDADS as an HCBS IDD Waiver provider
Complete documentation review and organizational readiness review
Step 2: KMAP Medicaid Enrollment
Enroll as a habilitation provider through KMAP
Step 3: MCO Credentialing
Contract with KanCare MCOs for participant-specific authorization and service billing
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of liability and workers’ compensation insurance
Habilitation Services Policy & Procedure Manual including:
Participant intake and ISP coordination
Skill-building program outlines and tracking logs
Incident reporting, emergency protocols, and abuse prevention policies
Transportation and community safety procedures
HIPAA compliance, rights education, and grievance resolution
Staff background checks, training logs, and supervision documentation
Medicaid billing forms, daily notes, and audit-ready service records
6. STAFFING REQUIREMENTS
Role: Habilitation Services Program Supervisor
Requirements: Experience in developmental disability services, human services, or behavioral support; background check required
Role: Direct Support Professionals (DSPs) / Habilitation Aides
Requirements: High school diploma or GED; training in personal care, ISP implementation, and behavior support; background check clearance
All staff must complete:
HIPAA and participant confidentiality training
Person-centered planning and ISP goal tracking
Abuse, neglect, and exploitation prevention
CPR/First Aid and emergency response training
Annual performance reviews and continuing education
7. MEDICAID WAIVER PROGRAMS
Habilitation Services are covered under the following Kansas Medicaid program:
Intellectual/Developmental Disability (IDD) Waiver
Authorized services may include:
Community-based or in-home habilitation support
Day service group programs
Skill acquisition and self-care supports
ISP goal achievement tracking
Supervision, community inclusion, and personal development activities
8. TIMELINE TO LAUNCH
Phase: Business Formation, KDADS Certification, and Policy Development
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Training
Timeline: 2–3 months
Phase: Medicaid and MCO Enrollment
Timeline: 60–90 days
Phase: Billing Setup and Habilitation Services Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HABILITATION SERVICES PROVIDER
WCG supports community organizations, residential providers, and day service agencies in launching Medicaid-compliant Habilitation Services under the IDD Waiver across Kansas.
Scope of Work:
Business registration, KDADS certification, and Medicaid enrollment
Development of Habilitation Services Policy & Procedure Manual
Staff training templates, ISP implementation logs, and daily documentation tools
Medicaid billing system setup and audit-readiness workflows
Website, domain, and branding support
Quality assurance systems for ISP outcomes, service tracking, and documentation review
Referral development with MCO case managers, residential teams, and community partners
Specialized Therapies
SPECIALIZED THERAPIES PROVIDER IN KANSAS
DELIVERING CUSTOMIZED THERAPEUTIC SERVICES TO ENHANCE FUNCTIONAL ABILITY, COMMUNICATION, AND QUALITY OF LIFE
Specialized Therapies in Kansas are designed to meet the unique rehabilitative and developmental needs of individuals with disabilities, injuries, or chronic conditions. These services are authorized under Kansas Medicaid (KanCare) through the Medicaid State Plan and various Home and Community-Based Services (HCBS) waiver programs. The goal is to help participants improve or maintain optimal functioning in home and community environments.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid reimbursement, provider enrollment, and therapy billing codes
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Monitors therapy service delivery under HCBS waivers, ensures ISP alignment, and defines therapy standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring specialized therapies meet clinical and Medicaid compliance standards
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services, review progress reports, and reimburse therapy providers
2. SPECIALIZED THERAPY SERVICE OVERVIEW
Specialized Therapies provide individualized treatment for functional, physical, cognitive, and communication needs. These therapies may be rehabilitative or habilitative, depending on the participant’s condition and plan of care.
Approved providers may deliver:
Occupational Therapy (OT) — to improve fine motor skills, ADLs, and sensory processing
Physical Therapy (PT) — to improve gross motor skills, strength, balance, and mobility
Speech-Language Pathology (SLP) — to address speech, language, swallowing, and communication disorders
Behavioral Therapy / Cognitive Therapy — to support behavioral regulation and social-emotional skills
Music or Art Therapy (when authorized under specific programs)
Augmentative and alternative communication (AAC) evaluation and support
Feeding therapy or sensory integration (based on therapist evaluation and MCO approval)
All services must be medically necessary, included in the participant’s Plan of Care or ISP, and provided under physician orders when required.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Ensure all therapists hold Kansas state licenses (OT, PT, SLP, etc.)
Enroll as a Medicaid therapy provider through the Kansas Medical Assistance Program (KMAP) portal
Coordinate service authorization and credentialing with KanCare MCOs
Carry professional liability and general liability insurance
Develop documentation, treatment planning, progress tracking, and HIPAA-compliant policies
4. KANSAS PROVIDER ENROLLMENT PROCESS
Initial Application:
Apply via KMAP to become a therapy provider under Kansas Medicaid
Coordinate with MCOs (Aetna, UnitedHealthcare, Sunflower) for credentialing and contracting
Documentation Submission:
Provide business incorporation papers, therapist licenses, proof of insurance, policy manual, and staff credentials
Authorization Process:
Submit physician referrals and therapy evaluation reports to MCOs for prior authorization
Maintain regular progress notes and submit reauthorization requests as needed
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of professional and general liability insurance
Current Kansas therapy licenses for each clinician
Specialized Therapy Policy & Procedure Manual including:
Participant assessment, care plan development, and progress reporting
Therapy modality procedures and session tracking
Emergency and incident reporting protocols
HIPAA compliance, participant rights, and grievance processes
Staff licensure records, training logs, and supervision policies
Medicaid billing forms, CPT coding, and audit-ready service documentation
6. STAFFING REQUIREMENTS
Role: Clinical Therapy Director / Lead Therapist
Requirements: Licensed OT, PT, or SLP in Kansas; supervisory experience; background check clearance
Role: Licensed Therapists (OT, PT, SLP, Behavioral)
Requirements: Current Kansas licensure; Medicaid documentation experience; background screening clearance
Role (optional): Therapy Assistants (COTA, PTA, SLPA)
Requirements: State certification; must work under direct supervision of licensed therapist
All staff must complete:
HIPAA and confidentiality training
Participant safety, abuse prevention, and emergency protocols
Documentation and billing compliance training
Annual continuing education and licensure renewals
7. MEDICAID PROGRAMS & HCBS WAIVERS
Specialized Therapies are covered under:
Kansas Medicaid State Plan (short-term rehabilitative therapies)
KanCare MCO Plans
HCBS Waivers (as applicable):
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Autism Waiver
Brain Injury (BI) Waiver
Frail Elderly (FE) Waiver
Technology Assisted (TA) Waiver (for medical therapies)
Authorized services may include:
Evaluation, planning, and delivery of skilled therapy interventions
Caregiver training and therapy carryover instruction
Ongoing assessments and reauthorizations
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing Verification, and Policy Manual Development
Timeline: 1–2 months
Phase: Staff Credentialing and MCO Contracting
Timeline: 2–3 months
Phase: Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Billing System Configuration and Service Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS SPECIALIZED THERAPY PROVIDER
WCG supports therapy practices, school-based providers, and HCBS agencies in launching Medicaid-compliant Specialized Therapy Services across Kansas.
Scope of Work:
Business registration, KMAP enrollment, and KanCare MCO credentialing
Development of Specialized Therapy Policy & Procedure Manual
Therapist credentialing templates, service logs, and documentation systems
Medicaid billing setup and CPT coding audit tools
Website, domain, and clinical branding
Quality assurance systems for documentation, service tracking, and clinical outcomes
Referral development with schools, case managers, and waiver service teams
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN KANSAS
ENHANCING INDEPENDENCE THROUGH CUSTOM DEVICES, EQUIPMENT, AND TECHNOLOGICAL SUPPORTS
Assistive Technology (AT) Services in Kansas provide individuals with disabilities access to specialized equipment and support needed to improve communication, mobility, environmental control, and independence. These services are offered under various Home and Community-Based Services (HCBS) waiver programs through Kansas Medicaid (KanCare) and are tailored to meet each participant’s functional needs in their home or community setting.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Defines eligibility and service guidelines for AT under HCBS waivers and monitors usage and outcomes
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid provider enrollment, equipment billing, and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Assistive Technology Services comply with Medicaid regulations
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services, approve device purchases, and reimburse providers
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology includes any item, piece of equipment, software, or product system that increases, maintains, or improves the functional capabilities of individuals with disabilities.
Approved providers may deliver:
Evaluation of assistive technology needs
Device selection, customization, and trialing
Procurement, setup, and training on use of devices
Maintenance and repairs for approved AT items
Instructional support for caregivers and team members
Documentation and submission of funding or warranty claims
Coordination with therapists or specialists to ensure fit and function
Examples of covered AT include:
Communication devices (AAC), voice output systems
Environmental control systems (e.g., smart switches)
Modified keyboards or computer access tools
Specialized seating, adaptive utensils, or visual aids
Portable ramps, mounts, or reachers (not covered under DME)
All devices must be authorized as medically necessary and functionally supportive under the participant’s Individualized Service Plan (ISP) or Plan of Care (POC).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as an AT provider through the Kansas Medical Assistance Program (KMAP) portal
Maintain product liability and general business insurance
Have contracts or partnerships with AT vendors, suppliers, or manufacturers
Develop policies covering evaluation, device delivery, training, documentation, and participant safety
Ensure staff are trained in assistive technology use, safety, and device-specific handling
4. KANSAS PROVIDER ENROLLMENT PROCESS
Initial Application:
Apply through KMAP as an Assistive Technology provider
Coordinate with KanCare MCOs (Sunflower, UnitedHealthcare, Aetna) for authorization and contracting
Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance documents, AT training documentation, and sample equipment tracking forms
Authorization and Fulfillment:
Obtain prescription or justification from licensed professional (OT, SLP, PT)
Submit equipment proposal and quotes for MCO approval
Upon authorization, deliver, install, and document AT support
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of product liability and general insurance
Assistive Technology Policy & Procedure Manual including:
Evaluation, procurement, and installation workflows
Device tracking, maintenance, and replacement protocols
Safety and training documentation
HIPAA compliance, participant rights, and grievance processes
Staff credentials and vendor agreements
Medicaid billing forms and audit-ready service logs
6. STAFFING REQUIREMENTS
Role: Assistive Technology Specialist / Coordinator
Requirements: Background in rehab engineering, special education, OT, SLP, or AT certification (e.g., RESNA ATP preferred); background screening clearance
Role: Installation Technicians / Support Personnel
Requirements: Training in device safety and setup; manufacturer certification preferred; background check clearance
Role (optional): Licensed Therapist (OT, PT, SLP)
Requirements: Evaluates need and prescribes/justifies AT for medical necessity
All staff must complete:
HIPAA and participant confidentiality training
Device safety and handling protocol training
Participant interaction, communication, and documentation training
Annual equipment competency and safety refresher
7. MEDICAID WAIVER PROGRAMS
Assistive Technology Services are authorized under the following Kansas HCBS waivers:
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Technology Assisted (TA) Waiver
Autism Waiver
Brain Injury (BI) Waiver
Frail Elderly (FE) Waiver
Approved providers may deliver:
Evaluation and fitting of devices
Purchase, setup, and training in AT usage
Repairs or replacements for previously authorized items
AT items that are not covered under standard DME
8. TIMELINE TO LAUNCH
Phase: Business Formation and Equipment Sourcing Setup
Timeline: 1–2 months
Phase: Staff Hiring, Training, and Policy Development
Timeline: 2–3 months
Phase: KMAP and MCO Enrollment
Timeline: 60–90 days
Phase: Billing System Setup and AT Services Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS ASSISTIVE TECHNOLOGY SERVICES PROVIDER
WCG supports DME vendors, rehabilitation specialists, and HCBS providers in launching Medicaid-compliant Assistive Technology Services throughout Kansas.
Scope of Work:
Business registration, KMAP enrollment, and MCO credentialing
Development of AT Policy & Procedure Manual
Vendor sourcing, pricing templates, and device tracking forms
Medicaid billing setup and AT-specific documentation workflows
Website, branding, and digital AT catalogs
Quality assurance tools for device reviews, training logs, and satisfaction surveys
Referral development with schools, therapists, hospitals, and case managers
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN KANSAS
DELIVERING INDIVIDUALIZED MENTAL HEALTH SUPPORT THROUGH THERAPEUTIC AND COMMUNITY-BASED SERVICES
Behavioral Health Services in Kansas provide assessment, treatment, and support to individuals experiencing mental illness, emotional disorders, or behavioral challenges. These services are authorized through the Kansas Medicaid (KanCare) State Plan, the Habilitation Services Program, and select Home and Community-Based Services (HCBS) waivers. The goal is to enhance recovery, emotional well-being, and integration into the community.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS) — Behavioral Health Services Division
Role: Oversees licensing of mental health providers, program oversight, and state-level service standards
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Manages Medicaid provider enrollment, behavioral health billing, and Medicaid policy implementation
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize behavioral health services, coordinate care, and reimburse providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Behavioral Health Services align with Medicaid managed care requirements and federal mental health parity standards
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services support individuals with mental illness through clinical, therapeutic, and recovery-focused interventions tailored to each individual’s needs.
Approved providers may deliver:
Diagnostic evaluations and psychological assessments
Individual, family, and group therapy
Crisis intervention and 24/7 mobile crisis services
Medication management and psychiatric services
Behavioral Health Rehabilitation Services (BHRS)
Community Psychiatric Support and Treatment (CPST)
Peer support and recovery coaching
Behavioral support planning under HCBS programs
Case management and care coordination
All services must align with an Individualized Treatment Plan (ITP) or Person-Centered Service Plan (PCSP) and be delivered by licensed or credentialed professionals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Community Mental Health Center (CMHC) or Behavioral Health Organization (BHO) licensure from KDADS (if applicable)
Enroll as a Medicaid provider through Kansas Medical Assistance Program (KMAP)
Credential with KanCare MCOs
Carry general liability, malpractice, and professional insurance
Develop clinical, crisis, confidentiality, and quality assurance policies
Ensure all staff are credentialed, background-checked, and trained in trauma-informed care
4. KANSAS PROVIDER ENROLLMENT PROCESS
Licensing and Credentialing:
Apply for KDADS behavioral health facility license (if providing outpatient or facility-based care)
Submit licensing documentation and pass program/facility readiness review
Medicaid and MCO Enrollment:
Enroll with KMAP as a Behavioral Health Services provider
Contract with KanCare MCOs: Sunflower, UnitedHealthcare, and Aetna
Approval & Billing Setup:
Upon approval, configure billing for therapy, rehab, psychiatry, and case management services using appropriate CPT/HCPCS codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
KDADS Behavioral Health Facility License (if applicable)
Proof of general liability and malpractice insurance
Behavioral Health Policy & Procedure Manual including:
Assessment, treatment planning, and progress review procedures
Documentation standards for all service types
Emergency response and suicide prevention policies
HIPAA compliance, participant rights, and grievance protocols
Credentialing and supervision logs for licensed and unlicensed staff
Medicaid billing documentation and audit-ready clinical records
6. STAFFING REQUIREMENTS
Role: Clinical Director / Behavioral Health Supervisor
Requirements: Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), or Psychologist (PhD); supervisory experience required
Role: Therapists / Counselors
Requirements: Must hold Kansas license (LSCSW, LMFT, LPC, etc.); behavioral health training; background clearance
Role: Psychiatric Nurse Practitioners / Psychiatrists
Requirements: Licensed in Kansas; DEA registration; experience in psychiatric care
Role: Behavioral Health Technicians / Peer Support Specialists
Requirements: Certification (where applicable); supervision by licensed clinician; background check clearance
All staff must complete:
HIPAA and confidentiality training
Crisis response and suicide prevention protocols
Trauma-informed care, cultural competency, and abuse prevention training
Annual CEUs and performance evaluations
7. MEDICAID STATE PLAN AND HCBS COVERAGE
Behavioral Health Services are covered under:
KanCare Medicaid State Plan (for therapy, rehab, and psychiatric services)
Habilitation Services Program
HCBS Waivers:
Intellectual/Developmental Disability (IDD) Waiver
Autism Waiver
Brain Injury (BI) Waiver
Technology Assisted (TA) Waiver
Children’s Mental Health Support services
Covered services may include:
Therapy and psychiatric treatment
Behavioral intervention under ISP
Peer mentoring and recovery support
Crisis stabilization and rehab services
Functional skill-building for community integration
8. TIMELINE TO LAUNCH
Phase: Business Registration, Facility Setup (if needed), and Policy Manual Development
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Licensure Application
Timeline: 2–3 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Billing System Configuration and Program Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS) — Behavioral Health Services
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS BEHAVIORAL HEALTH SERVICES PROVIDER
WCG supports mental health providers, therapy clinics, and community behavioral health centers in launching Medicaid-compliant Behavioral Health Services across Kansas.
Scope of Work:
Business registration, facility licensing, and Medicaid/MCO enrollment
Development of Behavioral Health Services Policy & Procedure Manual
Staff credentialing templates, clinical documentation logs, and assessment tools
Medicaid billing setup and CPT/HCPCS code alignment
Website, domain, and mental health branding
Quality assurance systems for clinical audits, supervision logs, and care outcome tracking
Referral network development with schools, hospitals, and crisis response teams
Home Modification
HOME MODIFICATION & ACCESSIBILITY ADAPTATION SERVICES PROVIDER IN KANSAS
MAKING HOMES SAFER AND MORE ACCESSIBLE TO SUPPORT INDEPENDENT LIVING AND COMMUNITY PARTICIPATION
Home Modification and Accessibility Adaptation Services in Kansas support individuals with disabilities or functional limitations by adapting their homes to improve safety, accessibility, and independence. These services are authorized under Kansas Medicaid (KanCare) through several Home and Community-Based Services (HCBS) waiver programs.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Oversees HCBS waiver program administration and sets policy for home modification services
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid provider enrollment, billing approval, and reimbursement processes
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring accessibility modifications are compliant with Medicaid regulations
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services under ISP plans, review contractor bids, and process provider reimbursements
2. SERVICE OVERVIEW
Home Modification and Accessibility Adaptation Services are designed to help participants remain in the least restrictive environment by addressing physical barriers in their homes.
Approved providers may deliver:
Installation of wheelchair ramps, grab bars, handrails, and stair lifts
Bathroom modifications (roll-in showers, raised toilet seats, widened doorways)
Kitchen modifications (accessible cabinetry, lever handles, lower counters)
Door widening and threshold elimination
Ceiling or wall-mounted lift systems
Adaptive lighting or environmental controls
Structural changes directly related to participant accessibility and safety
All modifications must be medically necessary, align with the participant’s Individualized Service Plan (ISP), and be pre-approved by the MCO or waiver program.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register as a business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Coordinate with KanCare MCOs for credentialing and service authorization
Maintain general liability, commercial contractor, and workers’ compensation insurance
Comply with Kansas contractor licensing and ADA construction guidelines
Develop policies for project planning, bidding, safety, and documentation
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Enroll through KMAP as a Home Modification or Environmental Accessibility Adaptation provider
Step 2: MCO Contracting
Contract with KanCare MCOs (Sunflower, Aetna, UHC) for service authorizations and claims processing
Step 3: Authorization & Project Planning
Conduct initial assessment with participant and service planner
Obtain medical documentation and bid approval from the MCO
Submit pre-authorization for project funding
Complete modification upon approval, followed by final inspection and documentation
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas Business License
IRS EIN confirmation
NPI confirmation
Proof of general liability and workers' compensation insurance
Home Modification & Accessibility Policy & Procedure Manual including:
Bid submission, authorization, and billing workflows
ADA-compliant construction standards and project documentation
Safety, quality control, and final inspection procedures
Participant rights, HIPAA compliance, and grievance protocols
Staff/contractor credentialing, licensure, and supervision documentation
Medicaid billing forms and audit-ready records
6. STAFFING REQUIREMENTS
Role: Home Modification Project Manager
Requirements: Experience in construction or ADA-accessible remodeling; licensed contractor or building professional; background screening clearance
Role: Construction Crew / Accessibility Technicians
Requirements: State or city contractor license if required; training in ADA construction standards and participant safety protocols; background check clearance
Role (Optional): Occupational or Physical Therapist Consultant
Requirements: Evaluates accessibility needs and provides environmental recommendations
All staff must complete:
HIPAA and confidentiality training
ADA accessibility and safety standards training
Emergency preparedness and abuse prevention training
Annual safety and compliance reviews
7. MEDICAID WAIVER PROGRAMS
Home Modification & Accessibility Adaptation Services are reimbursable under the following Kansas HCBS waivers:
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Technology Assisted (TA) Waiver
Brain Injury (BI) Waiver
Frail Elderly (FE) Waiver
Autism Waiver (for sensory modifications if medically necessary)
Approved services may include:
Structural and functional home alterations directly linked to health and safety
Accessibility adaptations supporting mobility and independence
Equipment or system installation that promotes in-home participation in daily tasks
8. TIMELINE TO LAUNCH
Phase: Business Registration and Contractor Compliance Setup
Timeline: 1–2 months
Phase: Staff Licensing, Credentialing, and Safety Training
Timeline: 1–2 months
Phase: Medicaid and MCO Enrollment
Timeline: 60–90 days
Phase: Bid Process Setup and Home Modification Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HOME MODIFICATION PROVIDER
WCG supports licensed contractors, housing providers, and waiver agencies in launching Medicaid-compliant Home Modification & Accessibility Services across Kansas.
Scope of Work:
Business registration, contractor licensure, and Medicaid/MCO enrollment
Development of Home Modification Policy & Procedure Manual
Project bid templates, service tracking forms, and inspection checklists
Billing system setup and documentation compliance tools
Website, domain, and accessibility-focused branding
Quality assurance systems for construction reviews, participant satisfaction, and audit readiness
Referral network development with case managers, OTs, and HCBS service planners
Companion Care
COMPANION CARE SERVICES PROVIDER IN KANSAS
FOSTERING INDEPENDENCE AND EMOTIONAL WELL-BEING THROUGH NON-MEDICAL SOCIAL SUPPORT
Companion Care Services in Kansas offer individuals support and supervision that promotes social engagement, safety, and well-being at home and in the community. These services are ideal for individuals who do not require hands-on personal care but benefit from assistance, company, and gentle guidance in daily activities. Companion care is authorized under Kansas Medicaid (KanCare) through specific Home and Community-Based Services (HCBS) waiver programs.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Manages Medicaid enrollment and reimbursement for non-medical support services including companion care
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Defines service parameters and establishes provider standards for companion care under HCBS waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Oversees federal requirements, ensuring services support the goals of community-based care and prevent institutionalization
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize service plans, credential providers, and manage billing and participant outcomes
2. SERVICE OVERVIEW
Companion Care Services provide supervision and support to individuals who live alone or are socially isolated and need assistance with non-medical daily activities.
Authorized providers may deliver:
Conversation, emotional support, and recreational engagement
Accompaniment to medical appointments, errands, or community events
Meal assistance (non-preparation) and light snack support
Supervision for safety and well-being
Assistance with letter writing, reading, and other cognitive activities
Gentle prompting or reminders for medications and daily routines
Support during transitions, such as hospital discharge follow-up
All services must align with the participant’s Individualized Service Plan (ISP) and are non-skilled, meaning they do not involve hands-on personal care or medical services.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your 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)
Obtain general liability and (if applicable) auto insurance
Develop a Companion Care Policies & Procedures Manual
Establish protocols for safety, documentation, and participant rights
Employ or contract with Companion Care staff who meet background and training requirements
Ensure HIPAA compliance and training on social support in disability and aging populations
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply through KMAP as a provider of Companion or Non-Medical Support Services
Complete credentialing with KanCare MCOs
Step 2: Documentation Submission
Provide business license, proof of insurance, and policies for service delivery and staff training
Submit staff qualifications and risk management procedures
Step 3: Service Authorization & Delivery
Coordinate with case managers to determine ISP needs
Obtain MCO service authorization
Begin service provision and submit claims using HCPCS codes assigned to companion services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas business license
IRS EIN and NPI registration
Proof of insurance coverage (liability and auto if transporting participants)
Companion Care Policies & Procedures Manual, including:
Intake and participant preference forms
Daily service documentation and goal tracking templates
Safety and emergency response plans
Consent, grievance, and HIPAA policies
Critical incident protocols and supervision logs
Staff background check process and training documentation
Medicaid billing records and audit compliance systems
6. STAFFING REQUIREMENTS
Role: Companion Care Aide / Support Worker
Requirements: High school diploma or equivalent preferred; strong interpersonal skills; cleared background check and screening
All staff must complete:
HCBS orientation and ISP-based service delivery training
Participant confidentiality and HIPAA compliance training
Emergency preparedness and safety procedures
Annual continuing education in aging, disability support, and community engagement
7. MEDICAID PROGRAMS & HCBS WAIVERS
Companion Care Services are authorized under:
HCBS Waivers (based on ISP and participant needs):
Frail Elderly (FE) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Intellectual/Developmental Disability (IDD) Waiver
Technology Assisted (TA) Waiver (case-specific)
Delivery settings may include:
Participant’s home
Community environments such as parks, libraries, or places of worship
Accompaniment to appointments and public events
8. TIMELINE TO LAUNCH
Phase: Business Registration and Manual Development
Timeline: 1–2 months
Phase: Staff Hiring and Medicaid Enrollment
Timeline: 1–2 months
Phase: MCO Credentialing and Service Plan Coordination
Timeline: 30–60 days
Phase: Companion Care Service Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS COMPANION CARE PROVIDER
WCG partners with home-based service providers, faith-based organizations, and community care agencies to launch fully compliant Companion Care programs across Kansas.
Scope of Work:
Business formation, KMAP enrollment, and MCO credentialing
Development of Companion Care policy and supervision manuals
Intake forms, daily logs, and goal documentation tools
Staff hiring templates, training guides, and QA systems
Medicaid billing templates and audit-ready compliance documents
Branding, website setup, and local outreach strategy to engage referrers and case managers
Environmental Accessibility
ENVIRONMENTAL ACCESSIBILITY ADAPTATION SERVICES PROVIDER IN KANSAS
ENABLING SAFE, ACCESSIBLE LIVING THROUGH STRUCTURAL HOME MODIFICATIONS
Environmental Accessibility Adaptation (EAA) Services in Kansas provide medically necessary modifications to the homes of Medicaid waiver participants to promote safety, accessibility, and independence. These adaptations allow individuals with physical, developmental, or cognitive disabilities to remain in their homes and communities, reducing reliance on institutional care.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid, oversees reimbursement, and manages provider enrollment
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Administers HCBS waivers and ensures EAA services meet participant needs and program goals
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight of HCBS waivers and ensures EAA services comply with 1915(c) requirements
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize EAA services in accordance with the participant’s Person-Centered Service Plan (PCSP), manage service approvals, and reimburse providers
2. SERVICE OVERVIEW
Environmental Accessibility Adaptation (EAA) Services are physical modifications to a participant’s primary residence that are required to accommodate their disability and promote health, safety, and independence.
Covered adaptations may include:
Wheelchair ramps and stair lifts
Door widening and threshold removal
Roll-in showers, grab bars, and accessible bathroom fixtures
Lowered counters and accessible sinks in kitchens or bathrooms
Installation of handrails, non-slip flooring, or visual/auditory alert systems
Minor electrical or plumbing work related to adaptation
Smart-home modifications (e.g., voice-activated lights, door controls) if medically necessary
Modifications must be:
Medically necessary
Cost-effective
Approved in the participant’s PCSP
Authorized by the participant’s MCO before installation
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll with Kansas Medicaid via the Kansas Medical Assistance Program (KMAP)
Maintain general liability and workers’ compensation insurance
Employ or subcontract with licensed contractors in compliance with Kansas construction codes
Follow ADA and Kansas Residential Building Code requirements
Develop an Environmental Accessibility Adaptation Policy & Procedure Manual
Implement HIPAA-compliant documentation and billing systems
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: KMAP Medicaid Enrollment
Apply as an EAA provider under relevant HCBS waiver categories
Step 2: Credentialing with KanCare MCOs
Enroll with each of the three KanCare MCOs (Sunflower Health Plan, UnitedHealthcare, Aetna Better Health)
Step 3: Documentation Submission
Provide business license, contractor credentials, insurance, and internal policy manual
Submit estimate and adaptation templates, safety checklists, and participant service tracking logs
Step 4: Service Delivery Upon Authorization
Assess participant home and prepare modification plan
Submit itemized cost estimate to MCO for approval
Complete installation and submit completion documentation with photos and receipts for reimbursement
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas business license
IRS EIN and NPI registration
Proof of general liability and workers’ compensation insurance
Contractor licenses and subcontractor agreements
Environmental Accessibility Adaptation Policy & Procedure Manual, including:
Participant intake and home safety assessment forms
ADA compliance verification checklists
Cost estimate templates and approval tracking logs
Completion confirmation forms and before/after photos
Staff credentialing and background check logs
HIPAA-compliant consent forms and service documentation
Incident reporting procedures and service satisfaction surveys
Medicaid billing templates and audit-ready records
6. STAFFING REQUIREMENTS
Role: Project Manager / EAA Coordinator
Requirements: Experience in home accessibility modifications, Medicaid service coordination, and compliance; cleared background check
Role: Licensed Contractor / Skilled Tradesperson
Requirements: Licensed and insured in Kansas for applicable work (construction, plumbing, electrical); ADA and safety knowledge
Role (optional): Occupational Therapist or Accessibility Evaluator
Requirements: Licensed in Kansas; assists with assessing participant needs and recommending appropriate modifications
All staff and subcontractors must complete:
HIPAA training and confidentiality agreements
ADA compliance and Kansas residential code orientation
Medicaid documentation and incident response protocols
7. MEDICAID PROGRAMS & HCBS WAIVERS
EAA Services are authorized under the following waivers:
Frail Elderly (FE) Waiver
Physical Disability (PD) Waiver
Intellectual/Developmental Disability (IDD) Waiver
Brain Injury (BI) Waiver
Autism Waiver
Technology Assisted (TA) Waiver
Eligibility notes:
Services must be listed in the PCSP
Rental properties require landlord consent
Services must not duplicate those available under standard Medicaid DME coverage
8. TIMELINE TO LAUNCH
Phase: Business Formation and Manual Development
Timeline: 1–2 months
Phase: KMAP Enrollment and MCO Credentialing
Timeline: 60–90 days
Phase: Contractor Network Development and Compliance Training
Timeline: 30–45 days
Phase: Participant Referrals and Project Launch
Timeline: Rolling, based on MCO approvals and case manager referrals
9. CONTACT INFORMATION
Kansas Medical Assistance Program (KMAP)
Website: https://www.kmap-state-ks.us
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
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS EAA PROVIDER
WCG supports contractors, accessibility experts, and home safety professionals in launching Medicaid-compliant Environmental Accessibility Adaptation services across Kansas.
Scope of Work:
Business registration, KMAP enrollment, and MCO credentialing
Development of EAA Policy & Procedure Manual
Estimate templates, ADA checklists, and installation documentation
HIPAA and Medicaid billing compliance tools
Coordination strategies with occupational therapists, case managers, and transition teams
Referral marketing and audit preparation guidance
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN KANSAS
ENHANCING QUALITY OF LIFE THROUGH MEANINGFUL ENGAGEMENT AND SOCIAL PARTICIPATION
Community Integration Services in Kansas help individuals with disabilities and chronic conditions build meaningful relationships, participate in community life, and access public resources and recreational opportunities. These services are authorized under Kansas Medicaid (KanCare) through various HCBS waivers to promote inclusion, skill-building, and independence outside the home.
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.
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
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
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
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
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
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS COMMUNITY INTEGRATION PROVIDER
WCG supports disability service organizations, advocacy groups, and direct support agencies in developing inclusive, Medicaid-compliant Community Integration programs.
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
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN KANSAS
SUPPORTING DAILY INDEPENDENCE THROUGH PERSONALIZED NON-MEDICAL ASSISTANCE IN THE HOME
Homemaker Services in Kansas are designed to assist individuals with essential household tasks they are unable to perform on their own due to age, disability, or chronic health conditions. These services are a critical support under Kansas Medicaid (KanCare) and are authorized through specific Home and Community-Based Services (HCBS) waivers to promote independent living and reduce reliance on institutional care.
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
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
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
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
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
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HOMEMAKER SERVICES PROVIDER
WCG assists HCBS providers, home care agencies, and entrepreneurs in establishing Medicaid-compliant Homemaker Services across Kansas.
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
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN KANSAS
COORDINATING INDIVIDUALIZED CARE AND SUPPORT TO PROMOTE HEALTH, INDEPENDENCE, AND COMMUNITY INTEGRATION
Case Management Services in Kansas help individuals with disabilities, chronic conditions, or behavioral health needs navigate Medicaid services, coordinate care, and access community resources. These services are authorized under Kansas Medicaid (KanCare) through multiple Home and Community-Based Services (HCBS) waivers and behavioral health programs. The goal is to ensure services are person-centered, effective, and aligned with each participant’s unique goals.
1. GOVERNING AGENCIES
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Oversees HCBS waiver programs and contracts with Targeted Case Management (TCM) agencies
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid provider enrollment and reimbursement for case management services
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Approve case management plans, monitor service delivery, and reimburse TCM providers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid Case Management Services comply with HCBS and TCM requirements
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management Services provide participants with assistance in planning, coordinating, and accessing services and supports necessary to live safely and independently in their communities.
Approved providers may deliver:
Assessment of participant needs and service planning
Development and monitoring of the Individualized Service Plan (ISP)
Coordination with service providers, including healthcare, education, housing, and employment
Assistance with Medicaid and waiver service access
Crisis support and advocacy
Transition support between service settings (e.g., hospital to home)
Monitoring outcomes and revising plans as needed
All services must be individualized, documented in the ISP, and delivered in accordance with state-defined standards and timelines.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your agency with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Obtain Targeted Case Management (TCM) agency approval from KDADS (when applicable)
Coordinate contracts with KanCare MCOs
Maintain general liability and professional insurance
Develop policies for service planning, coordination, documentation, and participant protection
Ensure all case managers meet state credentialing, training, and background check requirements
4. KANSAS PROVIDER ENROLLMENT PROCESS
Initial Application:
Apply through KMAP as a provider of Case Management or Targeted Case Management (TCM)
Submit separate applications to KDADS for TCM certification if serving IDD or behavioral health populations
Documentation Submission:
Submit Articles of Incorporation, EIN/NPI, proof of insurance, staff credentials, and policy manual
MCO Credentialing:
Contract with each KanCare MCO to coordinate case management for enrolled participants
Approval & Billing Setup:
Once approved, providers are assigned Medicaid billing codes for case management, typically billed in 15-minute units
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of insurance (general liability, professional)
Case Management Services Policy & Procedure Manual including:
Intake, assessment, and ISP development procedures
Crisis response, critical incident reporting, and care transitions
Documentation standards and monthly monitoring logs
Participant rights, informed choice, and grievance handling
HIPAA compliance and confidentiality policies
Staff credentialing, supervision protocols, and training logs
Medicaid billing forms and audit-ready tracking tools
6. STAFFING REQUIREMENTS
Role: Case Management Program Supervisor
Requirements: Bachelor’s or Master’s in social work, nursing, psychology, or human services; case management or supervisory experience; background check clearance
Role: Case Managers / Service Coordinators
Requirements: Bachelor’s degree in human services or related field; knowledge of Medicaid services and community resources; background screening clearance
All staff must complete:
HIPAA and confidentiality training
Abuse prevention and emergency response training
Person-centered planning, ISP development, and service coordination training
Annual continuing education and competency reviews
7. MEDICAID WAIVER PROGRAMS
Case Management Services are reimbursable under:
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Autism Waiver
Frail Elderly (FE) Waiver
Technology Assisted (TA) Waiver
Children’s Mental Health Waiver
Habilitation Services Program (for mental health coordination)
Approved providers may deliver:
Person-centered care planning
Crisis support and service referrals
Ongoing service monitoring and ISP adjustments
Cross-system coordination with medical, behavioral, and waiver service providers
8. TIMELINE TO LAUNCH
Phase: Business Formation and Policy Development
Timeline: 1–2 months
Phase: Staff Credentialing and KDADS/KMAP Enrollment
Timeline: 2–3 months
Phase: MCO Contracting and Readiness Review
Timeline: 60–90 days
Phase: Billing Setup and Case Management Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS CASE MANAGEMENT PROVIDER
WCG supports care coordination agencies, disability organizations, and behavioral health providers in launching Medicaid-compliant Case Management Services across Kansas.
Scope of Work:
Business registration, KDADS certification, and Medicaid/MCO enrollment
Development of Case Management Policy & Procedure Manual
Staff credentialing templates, ISP planning tools, and monitoring logs
Medicaid billing setup and case note documentation systems
Website, domain, and care coordination branding
Quality assurance systems for ISP tracking, supervision, and audit readiness
Referral network development with hospitals, waiver providers, and mental health centers
Transportation Services
TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN KANSAS
ENSURING ACCESS TO MEDICAL, THERAPEUTIC, AND COMMUNITY SUPPORT SERVICES THROUGH RELIABLE, SAFE TRANSPORT
Transportation Assistance Services in Kansas help individuals with disabilities, chronic conditions, or age-related limitations access essential healthcare, therapy appointments, and community services. These services are covered under Kansas Medicaid (KanCare) through the Non-Emergency Medical Transportation (NEMT) program and authorized under certain Home and Community-Based Services (HCBS) waiver programs.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid transportation policy and contracts with transportation brokers
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Coordinates HCBS waiver service definitions, including transportation-related supports
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize NEMT and HCBS transportation services and manage provider payments
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring transportation services meet access-to-care requirements under Medicaid
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Assistance Services are intended to ensure participants can access essential services such as medical appointments, therapy, day programs, employment supports, or other authorized destinations in their Individualized Service Plan (ISP).
Approved providers may deliver:
Non-Emergency Medical Transportation (NEMT) to Medicaid-covered appointments
HCBS-authorized transportation to waiver services, therapies, or structured activities
Door-to-door or curb-to-curb service
Mileage reimbursement for authorized family, staff, or independent drivers
Accessible vehicle transport for individuals using wheelchairs or mobility devices
Accompanied travel support when needed for safety or supervision
All services must be documented and authorized in the participant’s ISP or Plan of Care and scheduled through the appropriate MCO or transportation broker when required.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider via Kansas Medical Assistance Program (KMAP)
Contract with KanCare transportation brokers (e.g., Modivcare) and MCOs for HCBS transportation
Maintain commercial auto insurance and general liability coverage
Comply with Kansas vehicle safety standards and ADA guidelines
Develop policies covering vehicle maintenance, driver screening, incident reporting, and participant safety
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Provider Enrollment
Apply via KMAP to become a transportation provider
Register with the transportation broker (currently Modivcare) for NEMT services
Coordinate HCBS-specific transportation authorizations with KanCare MCOs
Step 2: Documentation and Readiness
Submit business documents, driver credentials, insurance certificates, fleet details, and policies
Step 3: MCO Credentialing and Trip Scheduling Setup
Finalize contracts and activate billing codes or trip authorization procedures
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of commercial auto, general liability, and driver coverage insurance
Transportation Assistance Policy & Procedure Manual including:
Driver hiring, credentialing, and supervision protocols
Vehicle maintenance schedules and safety inspection checklists
Participant safety, securement, and supervision procedures
HIPAA compliance, incident reporting, and grievance resolution
Trip logs, mileage reports, and audit-ready billing documentation
6. STAFFING REQUIREMENTS
Role: Transportation Program Manager / Dispatcher
Requirements: Experience with logistics, scheduling, or transportation services; background check clearance
Role: Drivers / Transportation Aides
Requirements: Valid driver’s license with clean driving record; CPR/First Aid certification recommended; wheelchair securement training (for accessible transport); background check clearance
All staff must complete:
HIPAA and participant confidentiality training
Defensive driving and emergency preparedness training
Abuse prevention and transport documentation training
ADA transportation and securement protocol training
7. MEDICAID PROGRAMS & HCBS WAIVERS
Transportation Services are reimbursable under:
Kansas Medicaid State Plan via the NEMT program (Modivcare brokered)
HCBS Waivers (for community-based services):
Intellectual/Developmental Disability (IDD) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Frail Elderly (FE) Waiver
Autism Waiver
Technology Assisted (TA) Waiver (when specified)
Approved services may include:
Scheduled rides to medical appointments, day services, and therapies
Staff or agency-provided transportation for waiver-related community outings
Reimbursement for qualified mileage-based transport
8. TIMELINE TO LAUNCH
Phase: Business Registration and Insurance Setup
Timeline: 1–2 months
Phase: Driver Hiring, Credentialing, and Fleet Setup
Timeline: 1–2 months
Phase: Medicaid Enrollment and Broker/MCO Credentialing
Timeline: 60–90 days
Phase: Billing System and Trip Scheduling Activation
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department for Aging and Disability Services (KDADS)
Website: https://kdads.ks.gov
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.ks.gov
Kansas Medical Assistance Program (KMAP)
Website: https://www.kmap-state-ks.us
Modivcare (NEMT Broker):
Website: https://www.modivcare.com
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS TRANSPORTATION ASSISTANCE PROVIDER
WCG supports NEMT companies, HCBS agencies, and specialized transit providers in launching Medicaid-compliant Transportation Assistance Services across Kansas.
Scope of Work:
Business registration, Medicaid and broker enrollment
Transportation Assistance Policy & Procedure Manual development
Staff and driver credentialing templates, trip logs, and vehicle inspection checklists
Billing system setup for mileage-based and unit-based transportation
Website, domain, and transportation branding
Quality assurance systems for trip tracking, driver training, and participant feedback
Referral development with waiver providers, discharge planners, and case managers
Home Health
HOME HEALTH SERVICES PROVIDER IN KANSAS
DELIVERING SKILLED NURSING, THERAPIES, AND PERSONAL CARE IN THE COMFORT OF HOME
Home Health Services in Kansas provide medically necessary clinical and support services to individuals in their homes to promote recovery, manage chronic conditions, and delay or prevent institutionalization. These services are covered under Kansas Medicaid (KanCare) and may be provided under both the Medicaid State Plan and certain HCBS waiver programs.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid enrollment, provider licensure, and reimbursement for home health services
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Coordinates with waiver programs and monitors service quality and policy compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, including certification of Medicare/Medicaid home health agencies and compliance with Conditions of Participation (CoPs)
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize services and reimburse approved providers under KanCare Medicaid plans
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services involve short-term or ongoing skilled healthcare services delivered in a person’s home to meet medical needs prescribed by a physician.
Approved providers may deliver:
Skilled nursing care (e.g., medication administration, wound care, injections, health monitoring)
Physical, occupational, or speech therapy
Home health aide services (support with bathing, dressing, personal hygiene)
Medical social work for care coordination and transition planning
Medical equipment education and monitoring
Chronic disease management education (e.g., diabetes, heart failure)
Services must be provided under a physician’s written order and documented in a Plan of Care (POC), reviewed every 60 days.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Home Health Agency license through KDHE’s Health Facilities Program
If seeking Medicare certification, apply through CMS and complete state survey process
Enroll as a Kansas Medicaid provider through the Kansas Medical Assistance Program (KMAP) portal
Obtain MCO credentialing and service contracts
Maintain general and professional liability and malpractice insurance
Develop policies covering clinical care, emergency response, infection control, and HIPAA compliance
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Licensing and Certification
Submit application to KDHE for state home health agency license
Complete life safety code and health inspection survey
Apply for CMS certification if seeking dual Medicare-Medicaid billing
Step 2: Medicaid Enrollment
Enroll via KMAP as a Home Health Services provider
Notify KanCare MCOs (Sunflower Health Plan, UnitedHealthcare, Aetna) for credentialing and contracting
Step 3: Service Authorization & Billing Setup
Submit participant Plans of Care to MCOs for authorization
Begin claims processing with appropriate HCPCS billing codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Kansas Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency license (KDHE)
CMS Certification (if billing Medicare)
Proof of insurance (general, malpractice, liability)
Home Health Services Policy & Procedure Manual including:
Admission assessment, physician orders, and Plan of Care development
Clinical documentation and service verification standards
Emergency protocols and infection control procedures
HIPAA compliance and grievance policies
Staff credentialing, licensure records, and supervision protocols
Billing records, quality assurance, and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Administrator / Director of Nursing
Requirements: RN with Kansas license; administrative and supervisory experience; background clearance
Role: Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Requirements: Active Kansas nursing license; CPR certification; home health experience preferred
Role: Home Health Aides
Requirements: Completion of a KDADS-approved nurse aide training program; active CNA/HHA registry listing; background check
Role: Therapists (PT, OT, SLP)
Requirements: Licensed in Kansas; experience with home-based therapy delivery
Role: Medical Social Workers
Requirements: Licensed in Kansas (LSCSW or LMSW); care coordination experience
All staff must complete:
HIPAA, infection control, and abuse prevention training
Emergency preparedness and client rights training
Annual continuing education and performance evaluations
7. MEDICAID PROGRAM COVERAGE
Home Health Services are covered under:
Kansas Medicaid State Plan (short-term or intermittent care)
KanCare MCO Plans (ongoing services as part of chronic care management)
HCBS Waivers:
Physical Disability (PD) Waiver
Technology Assisted (TA) Waiver
Frail Elderly (FE) Waiver
Brain Injury (BI) Waiver
Intellectual/Developmental Disability (IDD) Waiver (limited use)
Approved providers may deliver:
Intermittent skilled nursing care
Therapy and rehabilitation services
Home health aide tasks for ADLs
Chronic care oversight under physician-approved POC
8. TIMELINE TO LAUNCH
Phase: Business Registration, Policy Manual, and Licensing Application
Timeline: 1–3 months
Phase: Staff Hiring, Credentialing, and Training
Timeline: 2–3 months
Phase: CMS Certification and Medicaid/MCO Enrollment
Timeline: 60–120 days
Phase: Billing System Setup and Home Health Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Kansas Department of Health and Environment (KDHE)
Website: https://www.kdhe.ks.gov
Licensing: https://www.kdhe.ks.gov/1210/Health-Facilities
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HOME HEALTH SERVICES PROVIDER
WCG supports home health agencies, skilled care organizations, and therapy providers in launching Medicaid-compliant Home Health Services across Kansas.
Scope of Work:
Business registration, KDHE licensure, and CMS certification guidance
Medicaid provider enrollment and KanCare MCO credentialing
Development of Home Health Policy & Procedure Manual
Staff credentialing templates, nursing documentation logs, and POC forms
Billing setup, visit verification systems, and audit-ready documentation
Website, domain, and branding design
Quality assurance systems for nursing supervision, infection control, and care outcomes
Referral development with discharge planners, hospitals, and MCO case managers
Nutritional Counseling
NUTRITION COUNSELING AND SUPPORT SERVICES PROVIDER IN KANSAS
PROMOTING HEALTH AND WELLNESS THROUGH INDIVIDUALIZED DIETARY EDUCATION AND MEAL PLANNING SUPPORT
Nutrition Counseling and Support Services in Kansas provide participants with the guidance, planning, and education needed to manage health conditions, prevent malnutrition, and promote overall well-being. These services are available under Kansas Medicaid (KanCare) through specific Home and Community-Based Services (HCBS) waivers and medical benefit programs when deemed medically necessary.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Oversees Medicaid coverage for nutrition counseling and manages provider enrollment and reimbursement
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Coordinates HCBS waiver services and defines nutrition-related service criteria for eligible populations
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance and medical necessity requirements for nutrition-related services
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize nutrition counseling services, coordinate provider payments, and review care outcomes
2. SERVICE OVERVIEW
Nutrition Counseling and Support Services focus on educating participants about healthy food choices, meal preparation, and dietary management based on their individual needs.
Approved providers may deliver:
Individualized nutrition assessments
Meal planning and menu development
Medical nutrition therapy for conditions such as diabetes, hypertension, GI disorders, or obesity
Support for tube feeding regimens or specialized diets
Education on food safety, portion control, and budgeting for healthy meals
Caregiver training on nutrition and feeding techniques
Coordination with healthcare teams to align nutrition with medical goals
All services must be documented in the participant’s Individualized Service Plan (ISP) or Plan of Care (POC) and supported by a physician’s referral or order.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll with Kansas Medicaid through the Kansas Medical Assistance Program (KMAP)
Maintain liability and malpractice insurance
Employ or contract with a Licensed Dietitian (LD) or Registered Dietitian Nutritionist (RDN) licensed in Kansas
Develop nutrition service policies, assessment forms, and documentation systems
Ensure HIPAA compliance and staff training in nutrition-related service delivery
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Enroll through KMAP as a provider of Nutrition Counseling or Medical Nutrition Therapy services
Register with each KanCare MCO for credentialing and billing
Step 2: Documentation Submission
Provide proof of licensure for dietitians, business registration, insurance, and internal policy manual
Step 3: Authorization & Service Delivery
Obtain physician referral or medical order
Submit service authorization request to MCO
Provide services and submit claims using approved CPT codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Kansas Business License
IRS EIN confirmation
NPI confirmation
Proof of liability and malpractice insurance
Kansas Dietitian License (LD) or verification of RDN credential
Nutrition Counseling & Support Services Policy & Procedure Manual including:
Intake, dietary assessment, and plan development templates
Documentation protocols for progress notes and reassessments
HIPAA compliance, informed consent, and participant rights policies
Critical incident reporting and care coordination procedures
Staff credentialing, continuing education, and licensure tracking
Medicaid billing templates and audit-ready documentation
6. STAFFING REQUIREMENTS
Role: Clinical Nutritionist / Dietitian
Requirements: Registered Dietitian Nutritionist (RDN) or Licensed Dietitian (LD) in Kansas; experience in medical nutrition therapy; background check clearance
Role (optional): Nutrition Educator / Program Support
Requirements: Bachelor's degree in nutrition or related field preferred; works under supervision of licensed dietitian; background screening clearance
All staff must complete:
HIPAA and participant confidentiality training
Person-centered care and ISP documentation training
Food safety and emergency response procedures
Annual continuing education to maintain licensure and program quality
7. MEDICAID PROGRAMS & HCBS WAIVERS
Nutrition Counseling and Support Services are authorized under:
Kansas Medicaid State Plan (Medical Nutrition Therapy services with physician order)
KanCare MCO Plans
HCBS Waivers (when included in ISP):
Intellectual/Developmental Disability (IDD) Waiver
Brain Injury (BI) Waiver
Physical Disability (PD) Waiver
Frail Elderly (FE) Waiver
Autism Waiver
Technology Assisted (TA) Waiver
Services may include:
In-home, virtual, or office-based nutrition sessions
Dietary education and medical diet support
Nutrition monitoring and adjustment based on clinical goals
8. TIMELINE TO LAUNCH
Phase: Business Registration and Policy Development
Timeline: 1–2 months
Phase: Staff Licensing and Medicaid Enrollment
Timeline: 1–2 months
Phase: MCO Credentialing and Service Authorization Process
Timeline: 60–90 days
Phase: Billing System Setup and Nutrition Services Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS NUTRITION COUNSELING PROVIDER
WCG supports dietitians, wellness programs, and disability support agencies in launching Medicaid-compliant Nutrition Counseling & Support Services across Kansas.
Scope of Work:
Business registration, KMAP enrollment, and MCO credentialing
Development of Nutrition Counseling Policy & Procedure Manual
Staff credentialing templates, assessment forms, and dietary tracking tools
CPT billing code setup and Medicaid documentation support
Website, domain, and nutrition service branding
Quality assurance systems for participant feedback, service outcomes, and chart audits
Referral development with physicians, waiver coordinators, and chronic care providers
Personal Emergency Response System
PERSONAL EMERGENCY RESPONSE SYSTEM (PERS) PROVIDER IN KANSAS
ENSURING SAFETY AND PEACE OF MIND THROUGH 24/7 EMERGENCY MONITORING AND ASSISTIVE TECHNOLOGY
Personal Emergency Response System (PERS) services in Kansas provide individuals with 24/7 access to emergency assistance through wearable or stationary devices. These services are essential for individuals who live alone, have chronic health conditions, or are at risk for falls or medical crises. Covered under Kansas Medicaid (KanCare), PERS is an authorized support under several Home and Community-Based Services (HCBS) waivers.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid reimbursement and provider enrollment for assistive technology and PERS vendors
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Establishes service definitions and participant eligibility criteria for PERS under HCBS waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Regulates federal compliance for assistive technology and ensures medical necessity documentation
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize PERS devices and services, manage provider credentialing, and oversee care coordination and billing
2. SERVICE OVERVIEW
Personal Emergency Response Systems enable participants to quickly summon help during emergencies, supporting safe, independent living.
Approved PERS providers may deliver:
Installation of in-home base units and wearable alert devices (necklace, wristband, belt clip)
24/7 monitoring services through a staffed call center
GPS-enabled mobile alert systems for community or travel use
Automatic fall detection devices
Remote device testing and system maintenance
Participant and caregiver training on device use
Replacement or upgrade of malfunctioning units
All services must be tied to a documented need in the participant’s Individualized Service Plan (ISP) and accompanied by a physician’s order or waiver case manager’s approval.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Kansas Secretary of State
Obtain EIN and Type 2 NPI
Enroll with Kansas Medicaid via the Kansas Medical Assistance Program (KMAP)
Maintain general and product liability insurance
Establish contracts with a 24/7 monitoring center
Create a PERS Policies & Procedures Manual
Ensure data protection and HIPAA compliance for participant information
Provide participant training and emergency response documentation systems
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Medicaid Enrollment
Apply as a PERS provider through KMAP under Assistive Technology or Specialized Medical Equipment category
Complete MCO credentialing and network applications
Step 2: Documentation Submission
Provide proof of insurance, business registration, and monitoring center agreements
Submit PERS service protocol manual and quality assurance plans
Step 3: Authorization & Service Delivery
Obtain medical order or case manager approval
Submit service authorization request to MCO
Deliver and install PERS device
Document participant training and initiate monitoring
Submit claims using appropriate HCPCS codes
5. REQUIRED DOCUMENTATION
Kansas business license or Articles of Incorporation
IRS EIN and NPI confirmation
Liability and product insurance verification
24/7 monitoring center agreement
PERS Provider Policy & Procedure Manual, including:
Installation and training protocols
Emergency response workflows
Device maintenance, repair, and tracking procedures
HIPAA-compliant documentation system
Participant consent, safety checklists, and usage logs
Critical incident documentation and reporting
Medicaid billing and compliance audit templates
6. STAFFING REQUIREMENTS
Role: PERS Installer / Technician
Requirements: Experience in technology or electronics installation; background clearance; customer service skills
Role: Monitoring Center Operator (outsourced or in-house)
Requirements: 24/7 staffing availability; crisis response training; system redundancy and data protection compliance
All staff must complete:
HIPAA and confidentiality training
Participant sensitivity and accessibility training
Emergency response and escalation procedures
Annual device and monitoring protocol reviews
7. MEDICAID PROGRAMS & HCBS WAIVERS
PERS is reimbursable under:
HCBS Waivers (when medically necessary and included in ISP):
Frail Elderly (FE) Waiver
Physical Disability (PD) Waiver
Brain Injury (BI) Waiver
Technology Assisted (TA) Waiver
Intellectual/Developmental Disability (IDD) Waiver (limited use)
Delivery settings may include:
Participant’s private home
Assisted living facilities (when applicable and not already covered)
Community-based settings (for mobile units)
8. TIMELINE TO LAUNCH
Phase: Business Setup and Monitoring Contracts
Timeline: 1–2 months
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 2–3 months
Phase: Device Procurement and Staff Training
Timeline: 1–2 months
Phase: Launch of Installation and Monitoring Services
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS PERS PROVIDER
WCG supports health tech vendors, HCBS agencies, and safety monitoring companies in launching Medicaid-compliant Personal Emergency Response System services across Kansas.
Scope of Work:
Business formation, KMAP enrollment, and MCO credentialing
Partnership setup with approved 24/7 monitoring centers
PERS policy manual development and installation protocols
Device selection and vendor coordination support
Medicaid billing system and documentation templates
Participant consent, troubleshooting guides, and support ticket logs
Marketing materials, website, and referral partnerships with waiver care teams
Residential Care
RESIDENTIAL CARE SERVICES PROVIDER IN KANSAS
SUPPORTING INDIVIDUALS IN SAFE, STRUCTURED, AND COMMUNITY-BASED LIVING ENVIRONMENTS
Residential Care Services in Kansas provide individuals with disabilities or chronic conditions access to 24-hour support in supervised home-like settings. These services focus on helping participants develop daily living skills, maintain safety, and engage in the community while receiving the care and oversight they need. Covered under Kansas Medicaid (KanCare), Residential Care is typically provided through specific Home and Community-Based Services (HCBS) waivers for individuals who require ongoing assistance outside of their family home.
1. GOVERNING AGENCIES
Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance
Role: Administers Medicaid payments and enrollment processes for residential service providers
Agency: Kansas Department for Aging and Disability Services (KDADS)
Role: Regulates HCBS Residential Services, oversees licensing, and ensures provider compliance with care standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance for community-based residential services, focusing on person-centered planning and deinstitutionalization
Agency: Managed Care Organizations (MCOs) under KanCare
Role: Authorize service plans, credential residential providers, and monitor quality outcomes and documentation
2. SERVICE OVERVIEW
Residential Care Services provide 24/7 structured support for individuals living in provider-operated homes or group settings.
Authorized services may include:
Assistance with Activities of Daily Living (ADLs): bathing, dressing, grooming, mobility, and eating
Medication administration or supervision (per state regulation)
Meal preparation and nutritional oversight
Housekeeping and laundry services
Social skill-building and behavior management
Community integration and recreation
Health and safety monitoring
Transportation to medical and community appointments
Development of independent living skills, such as cooking, money management, and hygiene
These services are delivered in homes licensed or certified to provide HCBS residential supports and must be detailed in the participant’s Individualized Service Plan (ISP).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Kansas Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll as a Medicaid provider through KMAP
Obtain residential care licensure through KDADS (or equivalent certification depending on waiver)
Maintain general liability, property, and workers’ compensation insurance
Ensure all residential sites meet health, safety, and accessibility requirements
Develop Residential Services Policies & Procedures Manual
Ensure HIPAA compliance, emergency preparedness, and incident reporting systems
Employ or contract with appropriately trained residential support staff and supervisory personnel
4. KANSAS PROVIDER ENROLLMENT PROCESS
Step 1: Regulatory Licensing
Apply for KDADS licensure or certification based on waiver-specific requirements
Complete inspections and site readiness reviews
Step 2: Medicaid Enrollment
Register through KMAP and obtain MCO credentialing
Step 3: Documentation Submission
Submit policies, licensure, insurance, staffing structure, and training plans
Complete environmental and safety documentation
Step 4: Service Authorization & Delivery
Collaborate with case managers to develop ISP
Receive MCO service authorization
Begin service delivery and submit claims using HCPCS or T-codes assigned to residential services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business license
IRS EIN and Type 2 NPI confirmation
Residential licensure/certification through KDADS
Insurance policies (liability, property, workers’ compensation)
Residential Services Policies & Procedures Manual, including:
Daily care routines and ADL documentation tools
Medication management protocols
Participant rights and grievance procedures
Staff training, supervision, and background screening
Incident response and emergency evacuation plans
Health and safety inspections and compliance logs
ISP coordination and progress reporting templates
Medicaid billing and audit documentation systems
6. STAFFING REQUIREMENTS
Role: Direct Support Professional (DSP) / Residential Aide
Requirements: Experience with disability services or aging care; background checks and ongoing training required
Role: Residential Manager or Supervisor
Requirements: Supervisory experience; responsible for staffing, documentation review, and care quality
Role (optional): RN or Medication Aide (as required)
Requirements: Licensed nurse or medication-trained staff depending on service level
All staff must complete:
HCBS orientation and ISP implementation training
CPR, First Aid, and behavioral de-escalation techniques
Medication administration (if applicable)
Emergency preparedness and abuse prevention training
Annual continuing education and re-certification
7. MEDICAID PROGRAMS & HCBS WAIVERS
Residential Care is authorized under:
HCBS Waivers (with ISP and MCO authorization):
Intellectual/Developmental Disability (IDD) Waiver
Brain Injury (BI) Waiver
Technology Assisted (TA) Waiver (case-specific residential supports)
Service Settings Must:
Be home-like, community-based, and not institutional
Pass KDADS and fire marshal inspections
Support community inclusion and individual choice
Allow participant control over daily routines and personal space
8. TIMELINE TO LAUNCH
Phase: Business Registration and Facility Preparation
Timeline: 1–2 months
Phase: KDADS Licensure and Site Inspections
Timeline: 60–90 days
Phase: Medicaid Enrollment and MCO Credentialing
Timeline: 1–2 months
Phase: Staff Hiring, ISP Coordination, and Program Launch
Timeline: 30–45 days
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
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS RESIDENTIAL CARE PROVIDER
WCG supports agencies, behavioral health organizations, and community-based nonprofits in building high-quality, licensed Residential Care programs across Kansas.
Scope of Work:
Facility readiness checklists and KDADS licensure assistance
Policy & Procedure Manual for residential care and staffing
Staff hiring protocols, training trackers, and emergency procedures
ISP documentation templates and quality monitoring systems
Medicaid enrollment, billing setup, and audit support
Branding, website, and referral strategies with waiver support coordinators and hospitals
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.