Kansas HCBS Frail and Elderly Medicaid Waiver: Qualifications and Services

Page Reviewed / Updated - Apr. 2015

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 KanCare (Medicaid) Home and Community Based Services waiver, sometimes abbreviated as HCBS/FE, is designed to help the elderly who require nursing home level care. The Kansas Department for Aging and Disability Services (KDADS) provides qualifying participants 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 that can be self-directed is attendant or personal care.  As little to 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 2015, the senior’s monthly income is limited to $727 for full eligibility. Persons with income up to $2,199 / month receive benefits but are also required to pay a share of the cost. The combined value of his or her assets or savings 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 medical assistance through the 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 if their expenses reduce their disposable income to approximately $727. 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
  • Assisted Living Care Services
  • 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. The Kansas Department for Aging and Disability Services manages the program.  One can find a local office of their Aging and Disability Resource Center to apply or call 1-855-200-2372 for more information.  Learn more about the waiver here.