Apply for KanCare


If you do not currently have coverage for KanCare, you can apply online. To apply for medical coverage, you must complete and submit an application. Use the guide below to get an application for you and your family.

Individuals with disabilities and the frail elderly applying for KanCare who believe they may qualify to receive long-term services and supports, Home- and Community-Based Services (HCBS), make sure you check the box on the application that asks "Does this person need help with nursing home costs or in-home care?"

The application provides a large amount of detail on how to apply for the Medicaid waiver in-home services, which allows people to remain in their homes and communities, as well as for medical care. You can download and print an application if you go to the link on this page:

If you are unsure which application to use, call toll-free at: 800-792-4884

For Elderly & Persons With Disabilities

  • Elderly
  • Adults with Disabilities
  • Children with Disabilities

To apply online visit the Medical Consumer Self-Service portal

To request and application, call: 800-792-4884

Fax applications to: 844-264-6285

Helpful Guide to completing the Application:
KC-1501 E&D Application Guide

For Families & Children

  • Children
  • Pregnant Women
  • Families with Children

To apply online visit the Medical Consumer Self-Service portal

To request and application, call: 800-792-4884

Fax applications to: 800-498-1255

Applications & Additional Information for Families & Children

FileTypeSizeUploaded onDownload
KC-1100 Application for Medical Assistance for Families with Children 11-18PDF1.49 MB03 Jan, 2019 Download
KC-1100S Solicitud de Asistencia Médica para Familias con Niños_11-18PDF874.77 KB03 Jan, 2019 Download
KC2100 Families with Children BrochurePDF2.85 MB02 Nov, 2016 Download
KC2100S - Asistencia Médica para Familieas con NinosPDF2.85 MB02 Nov, 2016 Download
KC-1105 ED Supplement to the KC 1100_2-17PDF300.53 KB20 Dec, 2018 Download
KC-1105S ED Suplement De La Soliciutid para KC-1100S_1-15PDF1.72 MB20 Dec, 2018 Download
KC-2110 Helpful Hints Card_4-20PDF297.35 KB18 Mar, 2020 Download
KC-2110S Helpful Hints Card 4-20PDF138.65 KB18 Mar, 2020 Download

Applications & Additional Information for Elderly & Person with Disabilities

FileTypeSizeUploaded onDownload
KC-1500 Application for Medical Assistance for the Elderly and Persons with Disabilities_11-18PDF1.39 MB03 Jan, 2019 Download
KC-1500S Solicitud de Asistencia Médica para Personas Mayores de edad y Personas con Discapacidades_11-18PDF2.20 MB03 Jan, 2019 Download
KC2500 - Elderly and Persons with Disabilities BrochurePDF3.02 MB02 Nov, 2016 Download
KC2500S - Elderly and Persons with Disabilities Brochure - En EspanolPDF3.02 MB02 Nov, 2016 Download
KC2510 - Application Helpful Hints for Elderly and DisabledPDF424.08 KB02 Nov, 2016 Download
KC2510S Elderly and Disabled Helpful Hints SpanishPDF231.68 KB18 Oct, 2018 Download
KC-1501 E&D Application Guide_11-16PDF135.01 KB11 Apr, 2019 Download

Medicare Savings Applications

FileTypeSizeUploaded onDownload
ES-3100.8 -Medicare Savings Program Application - 08-13PDF189.83 KB08 Feb, 2018 Download
ES-3100.8 S-Solicitud / Renovación Planes de Ahorro Medicare - 8-13PDF114.63 KB02 Feb, 2018 Download
KC-2700 Medicare Savings Program BrochurePDF450.56 KB18 Mar, 2020 Download
KC-2700S- Programas de ahorro de Medicare (MSP)PDF345.09 KB18 Mar, 2020 Download

VIDEO - Guides for Nursing Facility & SED Waiver Member Applications

This video is designed to guide Community Mental Health Workers who help families apply for Serious Emotional Disturbance (SED) Waiver Service coverage under Medicaid/KanCare.


SSP SED 6-28-19 from KDHE on Vimeo.

Guide for application for KanCare when requesting SED Waiver services.


This video is designed to guide nursing facility workers who help patients apply for long-term care coverage under Medicaid/KanCare.
Filling out a KanCare Application for People Entering a Nursing Home