HOME CARE SERVICES PROVIDER IN KANSAS

DELIVERING PERSONALIZED SUPPORT SERVICES TO PROMOTE DIGNITY, SAFETY, AND INDEPENDENT LIVING AT HOME

Home Care Services in Kansas offer essential personal and supportive assistance to individuals who prefer to live independently at home but require help with daily activities due to aging, disability, or medical conditions. These services are authorized through Kansas Medicaid (KanCare) under Home and Community-Based Services (HCBS) waiver programs to reduce institutionalization and improve quality of life.

1. GOVERNING AGENCIES

Agency: Kansas Department of Health and Environment (KDHE) — Division of Health Care Finance

Role: Administers Medicaid coverage, provider enrollment, and reimbursement for home care services

Agency: Kansas Department for Aging and Disability Services (KDADS)

Role: Defines scope and quality standards for home care services under the HCBS waiver system

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Regulates federal Medicaid compliance and person-centered care requirements

Agency: Managed Care Organizations (MCOs) under KanCare

Role: Authorize home care service plans, credential providers, and process claims and outcomes reporting

2. SERVICE OVERVIEW

Home Care Services include both personal care and supportive home assistance to help individuals remain safely and comfortably in their home environments.

Authorized providers may deliver:

• Assistance with Activities of Daily Living (ADLs): bathing, dressing, grooming, toileting, mobility, and eating

• Light housekeeping: laundry, dishwashing, tidying, and bed-making

• Meal preparation and nutritional support

• Medication reminders (non-administration)

• Assistance with transfers, ambulation, and positioning

• Escort or supervision during appointments or errands

• Safety checks and fall prevention

• Respite care for family caregivers

All services must be listed in the participant’s Individualized Service Plan (ISP) and are provided in accordance with the individual’s waiver eligibility and level of care.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Kansas Secretary of State

• Obtain IRS EIN and Type 2 NPI

• Enroll with Kansas Medicaid through the Kansas Medical Assistance Program (KMAP)

• Maintain general liability and workers’ compensation insurance

• Develop a Home Care Services Policy & Procedure Manual

• Employ qualified home care aides or certified nurse aides (CNAs), depending on waiver requirements

• Ensure HIPAA compliance, emergency procedures, and participant safety systems

• Implement staff credentialing and service documentation protocols

4. KANSAS PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

• Register through KMAP as a Personal Care Services or Home Health Aide provider

• Credential with each KanCare MCO and complete network contracting

Step 2: Documentation Submission

• Submit policies, licenses, business registration, insurance, and staff qualifications

• Provide forms for intake, care documentation, and emergency protocols

Step 3: Authorization & Service Delivery

• Coordinate with waiver case managers to determine ISP needs

• Submit service authorizations for approval by MCO

• Begin in-home care and submit claims using appropriate HCPCS codes

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or a Kansas business license

• IRS EIN confirmation and Type 2 NPI verification

• General liability and workers’ compensation insurance

• Home Care Services Policies & Procedures Manual, including:

  • Care plan templates and daily service logs

  • ADL checklists and fall prevention protocols

  • Participant intake, consent, and emergency contacts

  • Infection control and staff hygiene procedures

  • Grievance policy and participant rights forms

  • Staff orientation, background checks, and training logs

  • HIPAA and incident reporting procedures

  • Medicaid billing documentation and audit-ready records

6. STAFFING REQUIREMENTS

Role: Home Care Aide / Personal Care Assistant

Requirements: Experience in caregiving; CNA preferred or required for certain waiver services; background check clearance

Role (optional): Supervisor / RN Oversight (if required under HCBS rules)

Requirements: Licensed Registered Nurse (RN); responsible for care plan oversight and aide supervision

All staff must complete:

• Orientation on Medicaid, HCBS waivers, and participant rights

• HIPAA and confidentiality training

• Emergency procedures and infection control training

• Annual continuing education and competency checks

7. MEDICAID PROGRAMS & HCBS WAIVERS

Home Care Services are reimbursed through:

• HCBS Waivers (based on individual needs and ISP):

  • Frail Elderly (FE) Waiver

  • Physical Disability (PD) Waiver

  • Brain Injury (BI) Waiver

  • Intellectual/Developmental Disability (IDD) Waiver

  • Technology Assisted (TA) Waiver

Service settings include:

• Participant’s home

• Assisted living or group home (if not otherwise staffed)

• Community outings and events, when part of ISP goals

8. TIMELINE TO LAUNCH

Phase: Business Registration and Policy Development

Timeline: 1–2 months

Phase: Staff Hiring and Medicaid Enrollment

Timeline: 1–2 months

Phase: MCO Credentialing and Intake Readiness

Timeline: 60–90 days

Phase: Service Launch and Claims Setup

Timeline: 30–45 days

9. CONTACT INFORMATION

Kansas Department of Health and Environment (KDHE)

Website: https://www.kdhe.ks.gov

Kansas Department for Aging and Disability Services (KDADS)

Website: https://kdads.ks.gov

Kansas Medical Assistance Program (KMAP)

Website: https://www.kmap-state-ks.us

KanCare MCOs:

• Sunflower Health Plan: https://www.sunflowerhealthplan.com

• UnitedHealthcare Community Plan: https://www.uhccommunityplan.com/ks

• Aetna Better Health of Kansas: https://www.aetnabetterhealth.com/kansas

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — KANSAS HOME CARE PROVIDER

WCG partners with entrepreneurs, caregiver agencies, and support organizations to launch HCBS-compliant Home Care programs that deliver compassionate in-home support services across Kansas.

Scope of Work:

• Business registration, Medicaid, and MCO enrollment

• Development of Home Care Services Policy & Procedure Manual

• Intake forms, daily care logs, and staff supervision systems

• CNA hiring guides and continuing education resources

• HIPAA, safety, and critical incident reporting tools

• Medicaid billing setup and compliance support

• Branding, website, and referral strategies targeting hospitals, waiver coordinators, and senior service centers

Continue To Our Client Portal To Get Started

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