Kansas HCBS Frail and Elderly Medicaid Waiver: Qualifications and Services

Page Reviewed / Updated - Feb. 2014

What is a Medicaid Waiver?
For persons with limited financial resources, Medicaid pays for nursing home care. For those who wish to live at home or in assisted living, sometimes Medicaid will pay for care in those locations if it can be obtained at a lower cost than in a nursing home. It does this through "Medicaid Waivers" which are also called Home and Community Based Services (HCBS Waivers) or Waiver Funded Services.

Waiver Description

 Under this program, friends and family can be hired to provide personal care.

This Kansas Medicaid Home and Community Based Services waiver, sometimes abbreviated as HCBS/FE,  is designed to help the elderly that require nursing home level care. Waiver participants are provided with services and support to enable them to remain living in their homes, in family homes or otherwise in their communities instead of in a nursing home. 

Some of the services provided under this waiver are open to self-direction. Self-direction or consumer direction is based on a Medicaid demonstration project called Cash and Counseling in which participants have the flexibility to select their own care providers.  Most notable among the services which can be self-directed is attendant or personal care.  As no professional training is required to provide this type of care, a wide variety of persons can be hired including friends and family members. 

Did You Know? Kansas is in the top 5 states for the highest percentage of persons living past the age of 100.


Eligibility Guidelines

The Frail and Elderly Waiver considers the age, level of impairment and finances of its applicants.

Age - Applicants must be at least 65 years of age

Level of Impairment - Applicants must be assessed by a medical team and determined to require nursing home care.

Finances - Applicants must qualify for Kansas Medicaid. In 2014, monthly income is limited to approximately $730 for full eligibility. Persons with income up to $2,163 / month may receive some benefits but may also be required to pay a share of the cost. The combined value of his or her assets is limited to $2,000.  Personal belongings, primary vehicles and homes are not included in the calculation of assets.

Qualifying When Over the Limits
In Kansas, it is still possible to qualify for Medicaid and the Frail and Elderly Waiver when one's financial holdings exceed the monetary limits. There are two ways in which to do this. 1) Individuals with very high, recurring medical expenses that consume the majority of their income may qualify under the Medically Needy program. 2) Persons can re-organization their finances to meet the limits. Medicaid planners help to re-structure incomes into trusts and assets into exempt assets. By doing so, they effectively lower one's income and assets to a Medicaid compliant level.  Learn more.


Benefits and Services

The services available to waiver participants can include those listed below. Each applicant is assessed and re-assessed periodically to ensure their care needs are being met by their approved benefits.  Some of these services can be self-directed.

  • Adult Day Care
  • Assistive Technology
  • Attendant Care Services
  • Comprehensive Support
  • Medication Reminder
  • Nursing Evaluation Visit
  • Oral Health Services
  • Personal Emergency Response
  • Sleep Cycle Support
  • Wellness Monitoring


How to Apply / Learn More

The program is available statewide to all Kansas residents. It is managed by the Department on Aging, Social and Rehabilitation Services (SRS). One can find a local office to apply or call 1-888-369-4777 for more information.  Some limited additional information as well as links to forms is available here.