HOMEMAKER SERVICES PROVIDER IN KANSAS

Fatumata Kaba
Jul 24
3 min read

SUPPORTING DAILY INDEPENDENCE THROUGH PERSONALIZED NON-MEDICAL ASSISTANCE IN THE HOME

Homemaker Services in Kansas are designed to assist individuals with essential household tasks they are unable to perform on their own due to age, disability, or chronic health conditions. These services are a critical support under Kansas Medicaid (KanCare) and are authorized through specific Home and Community-Based Services (HCBS) waivers to promote independent living and reduce reliance on institutional care.

1. GOVERNING AGENCIES

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

Role: Manages Medicaid funding, provider enrollment, and service reimbursement processes for homemaker services

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

Role: Defines the service scope, provider requirements, and participant eligibility criteria within HCBS waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Enforces federal Medicaid guidelines for home-based services, including documentation and quality standards

Agency: Managed Care Organizations (MCOs) under KanCare

Role: Review service requests, authorize homemaker services, and oversee provider credentialing and billing

2. SERVICE OVERVIEW

Homemaker Services provide routine, non-medical support that helps participants maintain a safe, clean, and functional home environment.

Authorized providers may deliver:

Light housekeeping (e.g., sweeping, laundry, dusting, dishes)
Meal preparation and kitchen clean-up
Assistance with organizing and shopping for groceries
Bed-making and linen changes
Escort or support with essential errands
Monitoring for safety and household needs
Communication and coordination with care managers or family caregivers

All services must align with the participant’s Individualized Service Plan (ISP) and be authorized through the MCO. Services are non-skilled and do not include medical tasks or personal care unless separately authorized.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register business with the Kansas Secretary of State
Obtain IRS EIN and Type 2 NPI
Enroll as a Medicaid provider through the Kansas Medical Assistance Program (KMAP)
Maintain liability insurance and workers’ compensation coverage
Develop Homemaker Services Policy & Procedure Manual
Comply with KDADS HCBS provider standards and staff training guidelines
Ensure HIPAA compliance, participant rights protections, and service documentation protocols

4. KANSAS PROVIDER ENROLLMENT PROCESS

Step 1: Medicaid Enrollment

Apply through KMAP as a provider of Homemaker Services
Complete credentialing process with each KanCare MCO

Step 2: Documentation Submission

Submit proof of business registration, insurance, policies, and staff qualifications
Provide a detailed description of the homemaker service procedures and supervision plan

Step 3: Authorization & Service Delivery

Receive service authorization from MCO (based on ISP and level of need)
Assign trained staff to deliver homemaker services
Maintain progress notes and submit claims using approved HCPCS codes

5. REQUIRED DOCUMENTATION

Kansas Articles of Incorporation or Business License
IRS EIN verification
Type 2 NPI registration
Insurance certificates (general liability, workers’ comp)
Homemaker Services Policies & Procedures Manual, including:
- Intake and service assessment templates
- Participant consent, grievance, and rights forms
- Staff training logs and supervision plans
- Progress note documentation formats
- HIPAA, safety, and infection control procedures
- Emergency and critical incident response guidelines
- Medicaid billing and audit documentation systems

6. STAFFING REQUIREMENTS

Role: Homemaker / Home Support Aide

Requirements: High school diploma or equivalent; demonstrated experience in home care preferred; cleared background screening and training completion

All staff must complete:

Orientation on HCBS and Medicaid rules
HIPAA and confidentiality training
Person-centered service delivery training
Infection control and basic home safety procedures
Annual continuing education on homemaker service standards

7. MEDICAID PROGRAMS & HCBS WAIVERS

Homemaker Services are covered under:

HCBS Waivers (with ISP and MCO authorization):
- Intellectual/Developmental Disability (IDD) Waiver
- Frail Elderly (FE) Waiver
- Physical Disability (PD) Waiver
- Brain Injury (BI) Waiver
- Technology Assisted (TA) Waiver