DEPARTMENT OF SOCIAL
Docking State Office
Room 681 - West
Topeka, Kansas 66612
Assistant Regional Directors
Economic and Employment Support Program Administrators
Economic and Employment Support Staff
Summary of Changes for Kansas Economic and Employment
Support Manual (KEESM) Revision No. 23 Effective
July 1, 2005
BACKGROUND, and REASON FOR CHANGE
The purpose of
this document is to transmit Revision No. 23 of the Kansas
Economic and Employment Support Manual effective July 1, 2005.
Protective Services - The legislature passed and the
Governor signed into law a couple of bills that affect certain
APS statutes. The primary bill is Senate Bill 115 regarding
the length of an APS investigation.
Assistance - The Medicare Modernization Act (MMA)
of 2003 provides for major changes in the Medicare program, including
the creation of Medicare Drug coverage under
new Part D. Prior to the implementation of Part D, application
processes for the Part D Subsidy program need to be included
in the KEESM.
- Time in Which to Conduct
an APS Investigation - K.S.A. 39-1433(a)(3) was
amended by the Legislature this year. It allows for a 60-day extension
(to 90 days) for APS investigations if the 30-day criterion
interferes with an ongoing criminal investigation. It
also allows for a previously made finding to be reopened
a new finding made based on additional evidence that
by the criminal investigation. Sections 12110 and 12410 are
being updated with this information.
- Investigations in SRS Institutions - A
new section, "Investigations
in SRS Institutions" has been added to incorporate
APS investigations in the five institutions (KNI, Larned,
Osawatomie, Parsons and Rainbow). Designated staff in
these institutions will conduct the investigations according
to their Risk Management procedures. APS statutes and
timeframes and Due Process for the alleged perpetrators
shall be followed. When Due Process for the alleged perpetrator
has been completed, the institutions will notify the
Central Office APS Program Manager to place the names
perpetrators on the registry. All documentation remains
at the institutions. Requests for expungement for perpetrators
confirmed by the institutions shall be the responsibility
of the institutions and an Expungement Panel designated
by the Superintendent of the institution.
Forms ES-1008 (Notice of Agency Decision); ES-1008.1
(Memo Notification) and ES-1008.2 (Memo Notification
Regarding Outcome of Fair Hearing) are being updated
to reflect the addition of SRS institutions to the
As a result of this section being added, existing
sections 12330 through 12370 are being renumbered as
12340 through 12380.
- SCREENING REPORTS - In Section 12210 the NOTE in sub-item
(2) is being deleted. With intake and screening being
handled by the Protection Report Centers (PRCs), this
procedure is no longer valid.
Handbook - references are being removed from Sections
12122 and 12311 as the handbook no longer exists.
- Statutes Related to Confidentiality
- a reference
to the Resource Handbook is being removed from Section
Process - Section 12200 is being updated with instructions
for intake reports received on adults residing in another
Time - A clarification is being made in Section 12220 that a “first interview” as defined in K.S.A.
39-1433 is a face-to-face interview.
- FOOD STAMPS
The current list of ABAWD counties was updated in July.
The graph in Section 2521(9) was inadvertently not updated
at that time. It is being corrected with this revision.
and Medicare Buy-In - Section 2911 is
being expanded to include the definitions of the Medicare
and Medicare Part D. The Medicare Advantage program is
a managed care model of Medicare available only in an area
of the state where the plan is offered. Medicare Part D
the new prescription drug coverage that will begin
in January 2006.
Part D Subsidy - A new section 2675 is
being added with this revision. Included is the definition
of who is eligible for
the Medicare Part D Subsidy program. Medicare Part D Subsidy
helps with the payment of Medicare Part D premiums, copayments
and deductibles. Medicare beneficiaries who are eligible
for Title XIX Medicaid, have met a spenddown, or are eligible
Qualified Medicare Beneficiary (QMB), Low Income Medicare
Beneficiary (LMB), and Expanded Low Income Medicare Beneficiary
be deemed eligible for the Medicare Part D Subsidy. In addition,
persons applying for the subsidy will be eligible if income
size is below 151% of the Federal Poverty Level and resources
are below $10,000 for an individual or $20,000 for a two
or more persons. Persons applying for the Part D Subsidy
last category will have their eligibility determined by the
Social Security Office. However, SRS staff must assist
with this process until an SRS application is developed. Instructions
for handling these requests are included in the new section.
A link is being added to the Web Links section for
an example of the Social
Security Medicare Part D Subsidy application.
- Responsibility for Medical Assistance
- House Substitute for
Senate Bill 272, adopted by the 2005 Kansas Legislature,
authorizes major reorganization of several healthcare
programs currently administered by SRS. The new
law establishes the Kansas Health Policy Authority,
a seven member board appointed by the Governor
and Legislature to oversee healthcare purchasing
and administration, beginning July 1, 2005. SB
272 also establishes The Division of Health Policy
and Finance (DHPF) effective July 1, 2005. DHPF,
a new division under the umbrella of the Department
of Administration, will assume the single state
Medicaid authority as well as responsibility
for the MediKan and HealthWave XXI programs.
Responsibility for the administration of these
programs will be transferred from SRS to DHPF
beginning July 1, 2005.
All operational and policy functions currently
performed by Health Care Policy-Medical Policy
will be transferred to DHPF. In addition, eligibility
policy and Estate Recovery functions currently
performed within EES, Working Healthy and federal
reporting will also transfer. However, HCBS
Waiver programs, NF and other institutional
programs will not transfer immediately and
will remain within SRS or the Kansas Department
The HealthWave Clearinghouse will also be
transferred to the new division but eligibility-related
responsibilities will not be changing. The
division of responsibilities between the HealthWave
Clearinghouse and SRS Service Centers, which
are outlined in the memo date June 22, 2001,
regarding initial application processing and
ongoing case maintenance of Family Medical
programs are still in force.
KEESM Sections 1121 and 2610 are being updated
with these changes
Aids Drug Assistance Program (ADAP) - A correction is being
made in Section 2694. The correct program/person (PRAP)
alert for a person eligible for the ADAP program is AD,
not AO as was previously listed.
(Not previously discussed in this Summary)
FORMS (Not previously discussed in this Summary)
previously discussed in this Summary)
Care - CACFP
Sponsors for Child Care Homes - Appendix Item D-1, - is
being updated and reordered. The list will now be alphabetical
in this revision are effective July 1, 2005. Additional information
will be in the Implementation Memo.
OBSOLETED BY THIS REVISION
ON LOCAL STAFF
The primary change
for Adult Protective Services will allow APS staff additional
time to conduct affected investigations. The implementation
of the Medicare Part D Subsidy will cause considerable additional
contact with the SRS Service Centers from affected Medicare
Beneficiaries. Staff will be expected to assist Medicare beneficiaries
in completing the application for subsidy.
in this letter will have minimal impact on staff time.
Within SRS, the
material in this letter and manual revision have been coordinated
with staff in the Economic and Employment Support, the EES
Program Administrators, the Implementation Planning Team, EES
Program Training Unit, the Medicare Part D Team and SRS Legal.
and Employment Support