What is the difference between a facilitator and a medical representative?
A facilitator is someone who has very limited access to your case information. They may be able to help you with your application, check on the status of your application, and find out if you are currently receiving coverage.
A medical representative, on the other hand, has more access to your case and may in fact be able to make requests for coverage on your behalf and sign your application for you.
For anyone to be designated as either a medical representative or facilitator, the proper releases and forms must be completed, and copies provided to us.
Additionally, if you are a legally appointed role such as a Guardian or Conservator, you must send proof. This can be uploaded on the Medical Self Service Portal, faxed to 1-800-498-1255 for Family Medical or 1-844-264-6285 for Elderly & Disabled. Documents may also be mailed to KanCare Clearinghouse - PO Box 3599, Topeka, KS 66601
We also have a submitter role. A submitter is someone with an organization such as a Community Food Bank, Community Health Clinic, or Housing Office. It could also be an assisting friend or family member. These individuals may help consumers apply on the Medical Self Service Portal. They would not receive information about the consumer’s case or copies of notices. In these cases, they must print out the signature page of the application, have the consumer sign it, and upload the signature page with the application. If the signature page is not received, it will not be considered a valid application. Consumers may receive a copy of the application to sign and return which would be required to consider it a valid application.
Forms that can be filled out and returned to KanCare to appoint a Medical Representative or a facilitator are available for download.
Medical Representative Authorization Form
Formularies de Autorización del Representante Médico
Facilitator Authorization Form
Formulario de Autorización del Facilitador