Kansas Reveals Home and Community Based Services Program Proposals

The final proposed changes to the Kansas Home and Community Based Services (HCBS) programs have been made available by the Kansas Department for Aging and Disability Services (KDADS) alongside the state’s applications to CMS for renewal of those programs. KDADS published the proposed changes on its website with an explanation as to why the agency elected to undertake the program changes. Proposed changes include updates to program definitions and language, background checks for providers and other updates to enhance the individual HCBS programs.


KDADS proposed changes and applied to CMS for renewal of its HCBS programs related to autism, intellectual/developmental disability, physical disability, serious emotional disturbance, technology assistance, traumatic brain injury, and the frail and elderly. The HCBS application for each of the programs is available on the KDADS website. The proposed changes to the programs were open for public comment in November and December of 2014. The published proposal and applications include changes that KDADS adopted following the review of those public comments.


In addition to the proposed changes affecting all the programs, like the language updates and the proposal to require that providers undergo background checks, KDADS made several proposals related to specific HCBS programs. For the physical disability program, among other proposals, KDADS is seeking approval from CMS to establish a maximum age limit of 65 so that, after the age of 65, beneficiaries will move out of the physical disability program and into the HCBS frail-elderly program. KDADS also proposed an alternative meal preparation services for beneficiaries of the frail-elderly program. Other proposals include a rehabilitative progress eligibility requirement for beneficiaries and a mandatory training curriculum for providers in the traumatic brain injury program.