What are the specific long-term care and institutional services offered?

Nursing Home

This category of coverage is for persons residing in a nursing home or similar facility for a long-term stay. Based on income level, some individuals are responsible for a portion of the cost of their care in the facility.

HCBS (Home and Community Based Services)

This program is for persons who have a medical need for services in the community which can keep them out of an institution. There are currently 7 different HCBS programs, each with a different set of rules. Based on income level, some individuals are responsible for a portion of the cost of their care.

PACE (Program of All-Inclusive Care for the Elderly)

This program is for disabled persons (age 55 years or older) and persons age 65 or older residing in selected counties within the state.

• Dickinson
• Douglas
• Ellsworth
• Harvey
• Jackson
• Jefferson
• Leavenworth
• Lincoln
• Lyon
• Marion
• Marshall
• McPherson
• Nemaha
• Osage
• Ottawa
• Reno
• Rice
• Saline
• Sedgwick
• Shawnee
• Pottawatomie
• Wabaunsee
• Wyandotte
  

Individuals receive long term care coverage through a managed care network. HCBS guidelines apply to individuals living in the community and institutional guidelines apply to those living in a facility. Based on income level, some individuals are responsible for a portion of the cost of their care.

WORK (Work Opportunities Reward Kansans)

This program is for disabled or blind persons between the ages of 16 to 64 who are working. It will provide personal care and other services to help people stay employed. Based on income level, some individuals are responsible for a portion of the cost of their care.

Other Institutional Care

Coverage for other types of Institutional Care is also available. For example:

            •           State Hospitals

            •           Psychiatric Residential Treatment Facilities

            •           Swing Bed Hospitals

            •           Head Injury/Rehabilitation Facilities

            •           Intermediate Care Facilities for People with intellectual Disabilities/Mental Retardation

Persons seeking payment for coverage in one of these facilities will need to meet level of care requirements. Based on income level, some individuals are responsible for a portion of the cost of their care.