Benefits Of Being A Sunflower Health Plan Member
All KanCare members receive the same Kansas Medicaid benefits, plus any that health plan providers offer. Learn more about the Kansas Medicaid benefits offered by Sunflower Health Plan:
- Rewards Program:Earn rewards for completing healthy activities with My Health Pays®!
- Care Coordination Services: Sunflower can help you manage chronic conditions such as asthma, diabetes, high-risk pregnancy and more.
- 24/7 Nurse Advice Line: Get answers to your health questions at any time from our team of registered nurses at our nurse advice line. Call 1-877-644-4623 to be directly connected.
- And more! Learn more about the valuable Kansas Medicaid benefits and services offered by Sunflower Health Plan.
Kancare 20 Waiver Proposal Initially Called For A Work Requirement And 36
The KanCare Medicaid program operates with a waiver from CMS that must be periodically extended. The state was given a temporary extension, through the end of 2018, but was in need of a longer-term renewal by the end of 2018. The states initially proposed KanCare renewal, dubbed KanCare 2.0, called for a work requirement for able-bodied, non-exempt adults, and would also have imposed a 36-month limit on Medicaid eligibility for adults who were subject to, and in compliance with, the work requirement .
In May 2018, CMS notified Kansas that the 36-month cap on Medicaid eligibility would not be allowed. The federal government was still considering the rest of the states proposal at that point, but the letter indicated that CMS was likely to approve the states proposed work requirements, and reiterated the fact that CMS has been willing to approve lock-out periods for people who dont comply with work requirements, which was part of Kansas proposal.
But the KanCare extension approval, granted in late 2018 by CMS, noted that the state had asked CMS to defer consideration of the work requirement. The Colyer administration clarified that the state legislature had determined that a work requirement would need to go through the budget process, and would thus not be implemented as part of the KanCare extension that took effect in 2019.
Kansas Medicaid Eligibility And Enrollment
- Kansas Medicaid, KMAP and KanCare provide health care to low-income state residents. Here’s information on eligibility requirements and how to apply for benefits.
The Kansas Medicaid program provides medical benefits to some low-income Kansas residents. The federal government established Medicaid and sets some of its rules, but each state is responsible for developing guidelines and administering benefits within the state.
Medicaid helps ensure that enrollees can access essential health care services, and it functions in a way that is similar to health insurance. It may cover doctor’s appointments, urgent care, pregnancy care, surgery and long-term care. Medicaid in Kansas is also sometimes called the Kansas Medical Assistance Program, or KMAP.
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What Does Medicaid Not Cover In Kansas
What is not covered by Medicaid in Kansas? Many people have this question. KS Medicaid coverage does not apply to all services. Some of the programs not covered include:
- AIDS Drug Assistance Program . This program provides payment for drugs required by patients being treated for AIDS.
- Medicare Savings Plans. With these programs, Medicare out-of-pocket expenses are refunded. The payments eligible for refunds under the program include co-payments and premiums.
- Program for All-Inclusive Care for the Elderly . This program provides long-term care to persons over the age of 55 years living in select Kansas counties. This program is not part of the KanCare network.
- MediKan. This program is open to people with disabilities that have been approved for General Assistance. The program has limited services.
- SOBRA. This program supports people who do not meet citizenship requirements. The program covers baby deliveries and life-threatening emergency care costs only.
What Is The Least You Can Make To Get Medicaid
Medicaid is generally available to low-income adults in 36 states that expanded coverage under the Affordable Care Act. If your modified adjusted gross income falls below 138% of the federal poverty level, you are eligible for Medicaid. A family of four would spend $3,013 per month on that, or $1,467 per month for an individual.
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Kansas Medicaid Income Limit Charts
The Kansas Medicaid eligibility income limit charts are divided by groups.
For example, the first chart is focused on income limits for children who qualify for Medicaid.
Similarly, the second chart below focuses on the Medicaid income limits for adults in Kansas who qualify for Medicaid.
Kansas Medicaid Income Limit for Children
Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.
|Kansas Medicaid Income Limit Children
|Children Medicaid Ages 0-1
How to Read the Kansas Medicaid Income Limits Charts Above
You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 166% of the Federal Poverty Level which for a family of two is $28,917 as shown in the chart above.
How Much Does Medicaid Cost In Kansas
How much is Medicaid in Kansas? The Medicaid cost estimates vary from applicant to applicant. The state purchases health services either through a fee-for-service model or a managed care model.
The Medicaid cost estimates in Kansas are quite higher than in most states. This is because Kansas is among the 19 states that have not accepted federal funding. The KS Medicaid cost estimates are usually revised from time to time. Confirm with your health care provider to know how much you are likely to pay for a service.
Before looking at what services are covered by KS Medicaid, its important to know the programs fall under Medicaid coverage. There are two programs under KanCare, i.e. KanCare19 and KanCare21. KanCare 19 is a medical program meant for children from birth to the age of 19 while KanCare 21 is open to children under the age of 21. The program serves families whose gross household income is above the guidelines of the Medicaid program.
If you have asked How much is Medicaid in KS? you have to consider the program that an individual has signed up for. The cost usually depends on the types of Medicaid insurance services covered. So, what Medicaid cost estimates should you expect when signing up for any of the programs? The Kansas Medicaid cost estimates of KanCare 19 and KanCare 21 are determined by income guidelines. Both programs are under KanCare umbrella. However, to qualify for Title 21, applicants must meet additional requirements.
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Behavioral Health Group Multiple Locations
This is an outpatient treatment center offering counseling, intensive outpatient programs , and medication-assisted treatment using methadone and Suboxone.
There are six BHG locations in Kansas, but not all accept Medicaid. KanCare is accepted at Overland Park and one of the two Kansas City rehab centers.
Top qualities of BHG include:
- accreditation from the Joint Commission
- accreditation from the Commission on Accreditation of Rehabilitation Facilities
- LegitScript certification
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Who Pays For Medicaid
Both your state government and the federal government act as insurers in this case . The way its set up, the federal government pays at least half of those bills, while the state government pays no more than half of those bills. In some states, Medicaid beneficiaries have to pay small fees for certain services.
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Parents And Caregivers Of Children
Benefits are available through KanCare to parents of children under the age of 19. If children are living with relatives or other legal guardians, the program is open to those adults instead. The children must live in the same household as the adult applying for Medicaid coverage.
Income limits for this category are set by the state as listed in the table below.
Number of People on Plan
Monthly Income Limit
Enrollees may be required to cooperate with Child Support Enforcement if applicable.
Controversy Around Kansas Medicaid
In 2010, Kansas began researching options to reform its Medicaid program to improve health outcomes and control costs. In November 2011, the Brownback administration announced its plans to move all Medicaid beneficiaries, including fragile populations like disabled individuals and nursing home residents, into managed care programs. The reformed program was given the name KanCare.
In September 2014, Democrats on the KanCare Oversight Committee requested an investigation of the contracting process with the three managed care companies that participate in KanCare. Those requesting the investigation cited reports that the FBI interviewed numerous people involved in the contracting process. In October 2015, Amerigroup, one of KanCares three managed care organizations, hosted a fundraiser for Republican members of the Senate Health and Welfare Committee, which oversees KanCares performance. The fundraising continued a trend of financial contributions to lawmakers from the private companies that contract with KanCare, and called into question lawmakers willingness to provide meaningful oversight for KanCares performance.
Another area of concern was raised by a study conducted by the University of Kansas. Researchers found that nearly half of disabled individuals interviewed had problems accessing services through KanCare.
In 2018, nearly all of Kansas Medicaid enrollees were covered under the states Medicaid managed care program.
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What Does Medicaid Insurance Cover
Medicaid covers a wide variety of health care needs. Some types of coverage are mandated by law, while other services are optional. The exact types of coverage may vary depending on the state you live in. No matter where you live, Medicaid is required to cover services such as:
- Inpatient and outpatient hospital care.
- Home health care.
Childrens Health Insurance Program
Children from families with incomes on the higher end of eligibility may need to pay a small premium every month. This is called the Childrens Health Insurance Program .
If the familys income is at the KanCare CHIP level, additional rules apply.
A premium between $20 and $50 is required for families with higher incomes.
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Long Term Care Options
Nursing Facility Coverage: This Medicaid plan is for persons in a nursing home or similar facility. Single persons must have assets below $2000. KanCare will not count the value of the home if the person intends to return home. There may be penalties when assets are sold or given away. KanCare looks at sales and gifts within the past five years. Persons with income more than $62 a month help pay for their care. Allowance for private health insurance may be given
Home and Community Based Services : This Medicaid program offers services in the community instead of in the nursing home. HCBS is much like nursing home health care coverage. Persons must have a medical need for the special care. There must be an open space in the HCBS program. The asset limit is $2000 for single persons. People on HCBS must also share in the cost of care. Persons with income more than $747.00 a month help pay for their care. Allowance for private health insurance may be given.
Impact Of Home Ownership On Medicaid Eligibility Considering Marital Status & Medicaid Type
When applying for Medicaid long term care, many families are concerned they will not be eligible due to home ownership or will have to give up their home to qualify. For most Medicaid applicants, neither of these is true. The good news is most applicants can retain their home and qualify for Medicaid. The bad news is that home ownership as it relates to Medicaid eligibility is confusing and, if not managed properly, can result in a family losing their home. There are a variety of factors that determine whether a home will impact eligibility including marital status, the number of applicants, the type of Medicaid program, the home equity value and the state of residence.
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Renewals To Be Sent Out Each Month
By: Noah Taborda– April 21, 2022 5:06 pm
Kansas Medicaid director Sarah Fertig says the state will take 12 months to process all Kansans covered by extended Medicaid eligibility offered under the federal public health emergency. The state expects to process about 20,000 renewals a month.
TOPEKA Leaders of the state-run Medicaid program expect the newly renewed federal public health emergency to end in July, along with continuous KanCare eligibility, leading to coverage changes for thousands of Kansans.
During the federally declared health emergency, Kansans were able to keep Medicaid coverage regardless of changes to their household situation. The requirement of continuous eligibility drove Medicaid enrollment up by 19.1% across the nation, but once the emergency ends, everyone covered will be required to undergo the renewal process.
The emergency is slated to end July 15, and Kansas officials say there will be a 60-day notice before the declaration expires.
Current guidance from the Centers for Medicare and Medicaid Services allows states up to 12 months to initiate renewals and 14 months to complete them. Sarah Fertig, the state Medicaid director, said Kansas would spread the renewal process out over 12 months so as not to overwhelm staff.
According to a report by the Urban Institute, almost 16 million Americans enrolled in Medicaid during the public health emergency could lose coverage. In Kansas, the expectation is 20,000 renewals sent out each month.
How Do I Enroll In Medicaid In Kansas
There are two applications to enroll in Kansas Medicaid. One application is for older adults and people with disabilities. Another application is for pregnant women, families and children. You must fill out the correct application to enroll.
You can complete an application online through a self-service portal. A paper application can be or requested by calling 800-792-4884. Older adults and those with disabilities should return paper applications by fax to 844-264-6285. Children, families and pregnant women should fax applications to 800-498-1255.
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Kansas Has Not Accepted Federal Medicaid Expansion
- 443,921 Number of Kansans covered by Medicaid/CHIP as of May 2021
- 145,000 Number of additional Kansas residents who would be covered if the state accepted expansion
- 45,000 Number of people who have NO realistic access to health insurance without Medicaid expansion
- $1.3 billion Federal money Kansas is leaving on the table in 2022 by not expanding Medicaid
Option 3 Download New Mexico Food Stamps Application
Call HSD at 1-800-283-4465 to have an application mailed to you. Complete it and mail it to your county HSD office or submit it in person.
Or mail your signed application. Send to:Central ASPEN Scanning Area PO Box 830
Or fax your signed application. Fax to:1-855-804-8960
Additionally, you can apply for Medicaid over the phone. Call: 1-855-637-6574.
New York State has separate Medicaid Applications: one for certain categories of New York City residents and the other for the rest of the state. See below and select appropriately based on your situation.
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Kansas Medicaid Enrollment Numbers
As of July 2013, enrollment in Kansas Medicaid/CHIP was 378,160. By June 2020, it stood at 401,103, which was little changed over more than six years . The COVID-19 pandemic has pushed Medicaid enrollment higher, however, even in states like Kansas that havent expanded Medicaid. An analysis by the Georgetown Health Policy Institute indicated that Medicaid enrollment in Kansas grew by 2.8% from February 2020 to April 2020.
As of May 2021, 443,921 people are enrolled in Medicaid/CHIP programs in Kansas.
Kansas Medicaid Income Limits Summary
We hope this post on Kansas Medicaid Income Limits was helpful to you.
If you have any questions about Medicaid in the state of Kansas, you can ask us in the comments section below.
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Be sure to check out our other articles about Medicaid.
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Who Is Eligible For Medicaid In Kansas
A person must be a Kansas resident and reside legally within the United States to be eligible for Kansas Medicaid. They must also meet low-income requirements and fall into one of the following categories:
- Pregnant women
- Parents and caregivers of children
- Blind or disabled persons
- People age 65 or older
Medicaid in Kansas is not available to all low-income adults only to those who fit into one of these eligible categories.
Medicaid Spending In Kansas
This article does not contain the most recently published data on this subject. If you would like to help our coverage grow, consider donating to Ballotpedia.
|Medicaid spending in Kansas
KansasMedicaid program provides medical insurance to groups of low-income people and individuals with disabilities. Medicaid is a nationwide program jointly funded by the federal government and the states. Medicaid eligibility, benefits, and administration are managed by the states within federal guidelines. A program related to Medicaid is the Childrens Health Insurance Program , which covers low-income children above the poverty line and is sometimes operated in conjunction with a states Medicaid program. Medicaid is a separate program from Medicare, which provides health coverage for the elderly.
This page provides information about Medicaid in Kansas, including eligibility limits, total spending and spending details, and CHIP. Each section provides a general overview before detailing the state-specific data.
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