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The Kansas Senior Care Act is a non-Medicaid program that offers elderly state residents the opportunity to receive care services and support in their homes or primary places of residence. Funded at the state level by the Kansas Department on Aging (KDOA), services provided under the Senior Care Act are administered by the state's eleven local Area Agencies on Aging. The specific services available are determined in each county but generally include personal care and other forms of non-medical, in-home support.
Services provided under this program which do not require medical training are available to be self-directed. This includes personal care and homemaker services. Phased another way, the program participant can select from whom they receive care. An interesting aspect of self-direction is that because the participant is free to select their service provider, family members can be hired in these roles. However, spouses cannot be hired and are not eligible to be paid
The SCA Program has eligibility criteria with regards to the applicant's age, residency, functional ability and financial status.
Age – applicants must be at least 60 years of age. Unlike many programs, an exception is not made persons under the age of 60 who have a disability.
Residency – applicant must be legal residents of Kansas. Newcomers to the state are eligible just as are long term residents. Priority is not given based on duration of residence.
Functional Ability - Applicants must be professionally assessed and found to require assistance with two or more activities of daily living (ADLs) and with three or more instrumental activities of daily living (iADLs). Definitions here.
Financial Status - Income and assets guidelines are staggered and complicated. They also change each year in July (this page was last updated in January, 2017). In simple terms, single individuals with monthly income less than $2,100 in 2017 should be eligible for some financial assistance. However, that threshold may be lower for persons with considerable liquid assets. Persons with monthly income less than $1,000 and with less than $10,000 in liquid assets receive assistance free of charge (without co-pay requirements). Granular details of the complex financial criteria are available here.
Services provided under the Senior Care Act are selected to help individuals continue to live independently, outside of a nursing home environment. While each individual is approved for a different variety of services depending on their needs, these can include attendant care, respite care, homemaker and chore services, adult day care, and transportation assistance. There is a monthly spending limit per program participant in 2017 of approximately $1,800 and the average beneficiary receives services valued at approximately $200 per month.
The costs of services range from free to full cost on a sliding scale based on income, assets and family size. Most services are free for individuals whose incomes are less than 150% of the Federal Poverty Level.
The SCA Program is managed separately by each of the 11 Kansas Area Agencies on Aging. To learn more about the program or to apply for assistance one should contact their local AAA office.