5922 Waiver Information

Children entering foster care or receiving ongoing foster care and/or adoption services may have special needs.

1. Home and Community Based Services (HCBS) Medicaid waivers

1. Implemented to provide services beyond what is generally covered by Medicaid.

1. Children’s residential services for youth on the DD waiver receiving Adoption Subsidy Medical.

2. Supportive home care

3. Adaptive equipment

2. Designed to prevent children with special needs from being placed in an institution or state hospital.

2. Waivers available for youth in foster care or adoption

1. Autism – HCBS/AU

2. Physical Disability – HCBS/PD

3. Intellectual/Developmentally Disabled – HCBS/IDD

4. Technology Assisted – HCBS/TA

5. Traumatic Brain Injury – HCBS/TBI

6. Serious Emotional Disturbance – HCBS/SED

For more information on waiver eligibility and services see the Kansas Department on Aging and Disability Services (KDADS) website at http://www.kdads.ks.gov/commissions/home-community-based-services-(hcbs).

3. Child Welfare Contract Management Provider

1. Refer children with special needs under their case management to the appropriate community resource for evaluation.

1. HCBS/AU – KVC

2. HCBS/PD – Aging and Disability Resource Center (ADRC)

3. HCBS/IDD – Community Developmental Disability Organization (CDDO)

4. HCBS/TA – Children’s Resource Connection

5. HCBS/TBI – Aging and Disability Resource Center (ADRC)

6. HCBS/SED – Community Mental Health Center (CMHC)

2. Participate in and support the waiver plan of care.

3. Coordinate services to the child.

4. Eligibility

1. Children placed in foster care are eligible for waiver services, unless they are in one of the following placements:

1. Psychiatric residential treatment facilities (PRTF)

2. State hospitals

3. Group Boarding homes

4. Correctional facilities

5. Detention facilities

6. Institutions

7. Residential Centers/Shelters

8. Qualified residential treatment programs (QRTP)

5. ES-3160 Notification of HCBS or Working Healthy Services Referral/Initial Eligibility/Assessment/Service Information

1. The assessing entity completes the ES-3160 and forwards the form to the KDADS program manager or KanCare.

2. The KDADS program managers for the following waiver types are required to complete the ES-3160 prior to sending to KanCare.

1. HCBS/PD

2. HCBS/IDD

3. HCBS/TBI

3. KanCare scans the document to the case in ImageNow and sets a LTC Communication task assigned to the correct regional PPS queue.

4. PPS Eligibility staff process the waiver information in KEES.

5. PPS Eligibility staff complete Section V of the ES-3160 and image the completed form to case in ImageNow.

6. The completed ES-3160 form is sent to the assessing authority, the Managed Care Organization (MCO), and the KDADS program manager as required.

6. ES-3161 Notification of KanCare, HCBS/MFP Changes and Updates

1. Sent to KanCare when there is a change in waiver services.

1. Change in service provider

2. Change of address or phone number

3. Termination of waiver

2. KanCare scans the document to the case in ImageNow and sets a LTC Communication task assigned to the correct regional PPS queue.

3. PPS Eligibility staff take appropriate action on the reported change.

4. When a youth in foster care  enters an ineligible placement (PRTF, state hospital, group boarding home, correctional facility, detention facility, institution, residential center/shelter, or QRTP) and waiver services must be terminated PPS staff end waiver services in KEES, complete Section I and Section II of the ES-3161 and scan the document to the case in ImageNow.

5. PPS staff send the completed document to the assessing authority and the MCO.

7. The HCBS service provider is to adhere to the HCBS regulations and person-centered service plan.

8. DCF PPS Medicaid Liaison will monitor continued eligibility of youth receiving HCBS through monthly reports.

9. When the child is no longer eligible for foster care or adoption medical.

1. PPS staff discontinue medical coverage in KEES.

2. PPS staff refer the family or individual to apply for Medicaid with KanCare.

3. PPS staff complete Section I and Section II of the ES-3161 and scan the completed document to the case in ImageNow.

4. PPS staff send the completed ES-3161 to the assessing authority, the MCO, and the KDADS program manager as required.

10. When a child or youth receiving HCBS services is placed in foster care, the PPS Eligibility Worker is to reach out to determine if HCBS is to continue and cc: the DCF.PPSMedicaidAssistance@ks.gov email box.