Page Reviewed / Updated - Feb. 2014
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.
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.
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.
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.