Medicaid is the national public health insurance program for those with low incomes and few resources. The program is funded jointly by the federal government and individual states and is administered at the state level according to federal guidelines.
The state Medicaid program, known as KanCare, provides health care coverage to Kansas families with young children, pregnant women, those with disabilities and the elderly. For applicants who meet specific eligibility requirements, KanCare provides a range of services, including:
- Doctor visits
- Hospital services
- Preventive care such as vaccines and wellness checks
- Lab and X-ray services
- Prescription drugs
- Medical transportation
- Home and community-based services
- Nursing home care
- Dental care
To qualify for full KanCare coverage for long-term care and community-based services, such as assisted living, Spring Hill residents must be U.S. citizens or legal resident aliens and:
- Be aged 65 or older or permanently disabled if younger
- Be assessed as needing a nursing facility level of care
- Have $2,000 or less in total countable assets per person
- Have a monthly income of $771 or less per person or $1,157 for a married couple
Applicants who apply and are approved for
Supplemental Security Income benefits qualify for KanCare coverage without having to file a separate application. Those with a monthly income above $727 who are approved for KanCare home and community-based services must contribute toward the cost of their care.
Income from all sources counts toward the eligibility limit, but some assets are disregarded, including a primary home, burial plans, home furnishings, personal effects and one car.
KanCare offers two pathways to qualify for coverage for those who are over the income and asset limits:
- A married applicant whose spouse doesn’t apply may have excess income of up to $3,160.50 disregarded and half the value of joint assets up to $126,420 set aside as spousal allowances.
- Those with too high a monthly income are automatically eligible for a Medicaid spend-down. This allows an applicant to receive KanCare coverage for a six-month period once they’ve accrued medical expenses equal to their excess income.
Spring Hill seniors and those with disabilities can
apply for KanCare online or call (800) 792-4884 for assistance or to request an application by mail.
Frail Elderly Waiver Program KanCare offers a home and community-based services
Frail Elderly waiver program to qualified residents aged 65 and older as an alternative to nursing home placement. The waiver doesn’t cover room and board in an assisted living facility, but it does pay for a number of services and supports such as:
- Assistive technology
- Personal care
- Comprehensive support services
- Medication reminders
- Enhanced care services
- Wellness monitoring
- Nurse evaluations
- Financial management services
To qualify for the FE waiver program, applicants must be financially eligible for Medicaid coverage and assessed as requiring a nursing facility level of care but able to safely live in a community setting.
To learn more or begin the assessment and application process for the FE waiver, Spring Hill residents should contact the
Kansas Department for Aging and Disability Services at (785) 296-4983.