Kansas Medicaid pays for in-home personal care and related services through 4 programs, including the Frail Elderly (FE) Waiver and the Physical Disability (PD) Waiver. KDADS oversees Kansas's HCBS waivers, and all waiver services run through KanCare managed care. CMS approved the new Community Supports Waiver on July 1, 2026, effective October 1, 2026, with 500 projected slots in year one. Service lists below come from a November 2023 summary; confirm current services, EVV requirements, and whether new Frail Elderly applicants are being waitlisted with the Kansas Department for Aging and Disability Services.
Which Kansas waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Frail Elderly (FE) Waiver
Population
People 65 and older who meet the Medicaid nursing facility threshold score and are financially eligible for Medicaid.
Services covered
personal care services
enhanced care services
adult day care
comprehensive support
wellness monitoring
medication reminder
personal emergency response
home telehealth
financial management services
Billing format
All HCBS waiver services are delivered through KanCare managed care; MCOs pay providers at or above KDHE/KDADS floor rates.
People ages 16 to 64 who meet nursing facility criteria due to a physical disability, are disabled under Social Security standards, and need help with activities of daily living.
Services covered
personal care services
enhanced care services
home-delivered meal service
medication reminder
personal emergency response system
assistive services
financial management services
Billing format
All HCBS waiver services are delivered through KanCare managed care; MCOs pay providers at or above KDHE/KDADS floor rates.
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
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