Important Updates:

Beginning July 1 2025, late eligibility reviews will be treated as a new application. To be considered for backdated coverage, the member must answer “yes” to the question about prior medical expenses in the review. Click the link for more information: KanCare.ks.gov/ReconsiderationPolicy.

Effective October 14, 2025, Provider Electronic Solutions (PES) will no longer be supported by the Kansas Medical Assistance Program (KMAP). Users will submit EDI transactions through KMMS. There will be two town halls available to PES users to learn more about the changes. Click the link to learn more and register: Attend a Town Hall.

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Policy Directives issued by the agency are listed according to the type of directive: those that impact ALL medical programs, Elderly & Disabled (E&D), Family Medical (FM), and Prevention and Protective Services (PPS). Policy Directives are used to implement simple policy changes. These are used for singular topics that can be easily implemented with minimal instruction to staff.

2025

POLICY #	PROGRAM	POLICY NAME
PD2025-06-01	ALL	Continuation of Benefits at Review (PDF)
PD2025-05-01	E&D	Institutional Transition Length Of Stay (PDF)

2024

POLICY #	PROGRAM	POLICY NAME
PD2024-11-01	E&D	Pending For Pursuit Of Potential Resources (PDF)
PD2024-07-02	E&D	HCBS Termination Effective Date (PDF)
PD2024-07-01	ALL	CE for CHIP to Medicaid Transitions (PDF)
PD2024-06-01	E&D	MSQ/QMB Review Updates for SSI Recipients (PDF)
PD2024-05-01	FM	CHIP COFA Migrant (PDF)
PD2024-04-01	ALL	New Review Signature Page (PDF) KC-1201 Family Medical Pre-Populated Review Form – Eligibility Processing Instructions (PDF) KC-1601 E&D Pre-Populated Review Form – Eligibility Processing Instructions (PDF)
PD2024-01-02	ALL	CE for SOBRA Children (PDF)
PD2024-01-01	E&D	Pursuing SSA Benefits Waiver- COVID-19 Unwinding (PDF)

2023

POLICY #	PROGRAM	POLICY NAME
PD2023-11-01	ALL	Incarceration Suspension (PDF)
PD2023-10-01	E&D	Social Security Administration (SSA) Application Verification (PDF)
PD2023-06-02	ALL	E-Application & PDF Discrepancies (PDF)
PD2023-06-01	E&D	HCBS to SIA (or State Hospital) Temporary Stay Updates (PDF)

2022

POLICY #	PROGRAM	POLICY NAME
PD2022-10-02	ALL	SSN Exception for Non-citizens (PDF)
PD2022-10-01	ALL	In-state Addresses Received via Returned Mail - COVID-19 (PDF)
PD2022-09-03	ALL	In-State Address Changes Provided by MCO’s - COVID-19 (PDF)
PD2022-09-02	ALL	End of Fair Hearing Extension - COVID-19 (PDF)
PD2022-09-01	E&D	Implementation of ES-3172 Life Insurance Information Request Form (PDF)
PD2022-08-03	FM	State Employee Open Enrollment and CHIP Eligibility (PDF) SEHP State & Non-state Groups 10-22 (PDF)
PD2022-08-02	ALL	Presumptive Tuberculosis (TB) Determinations (PDF)
PD2022-08-01	ALL	APPRISS - Timely Action Window (PDF)
PD2022-07-01	ALL	Ukrainian Humanitarian Parolees (PDF)

2021

POLICY #	PROGRAM	POLICY NAME
PD2021-12-01	FM	Continious Eligibility Dates at Review (PDF)
PD2021-09-01	ALL	SOBRA Provider Requests (PDF)
PD2021-08-01	FM	MAGI Filing Threshold (PDF)
PD2021-06-01	E&D	Termination of Temporary PASRR Extension Policy COVID-19 (PDF)
PD2021-04-01	ALL	Primary Verification for Death of a Consumer (end-dated 4/1/2022) (PDF)
PD2021-02-02	E&D	Property Settlement - Divorce (PDF)
PD2021-02-01	ALL	Premium Delinquency – COVID-19 (PDF)

2020

POLICY #	PROGRAM	POLICY NAME
PD2020-12-01	FM	Continuous Eligibility Dates at Review (PDF)
PD2020-10-01	E&D	Processing Instructions for Medically Needy Spenddown and MediKan During COVID-19 Public Health Emergency (PDF)
PD2020-09-04	E&D	Implementation of ES-3104.7 Income Allocation Worksheet (PDF)
PD2020-09-03	FM	Journaling Templates for KDHE Family Medical Staff (end-dated 3/7/2023) (PDF)
PD2020-09-02	E&D	ES-3100.8 MSP Only Application and Prior Medical Coverage (PDF)
PD2020-09-01	ALL	Voter Registration (PDF)
PD2020-06-01	ALL	Fair Hearing Extension - COVID-19 (end-dated 9/16/2022) (PDF)
PD2020-03-01	ALL	Delayed Discontinuance - COVID-19 (PDF)
PD2020-02-02	ALL	End-dating $0 Income Records in KEES (PDF)
PD2020-02-01	E&D	Cryptocurrencies (PDF)
PD2020-01-01	ALL	Separation of the Trust and Annuity Clearance Request Form (B-6) (PDF)

2019

POLICY #	PROGRAM	POLICY NAME
PD2019-06-01	ALL	Failure to Provide - Natural Disaster (PDF)
PD2019-05-01	ALL	Changes to Equifax Web Portal (end-dated 10/5/2022) (PDF)
PD2019-04-01	E&D	MediKan Reintegration – Date of Discharge (PDF)
PD2019-02-01	ALL	Facility Birth Reporting Form for Medicaid Deemed Newborns (PDF)

2018

POLICY #	PROGRAM	POLICY NAME
PD2018-11-01	E&D	LTC Communication Reporting the Death of a Consumer (end-dated 4/1/2022) (PDF)
PD2018-09-02	E&D	LIS/MIPPA Application Registration and Processing (PDF)
PD2018-09-01	ALL	Journaling Templates for State Staff (end-dated 9/7/2018) (PDF)
PD2018-08-01	FM	MAGI Householdsː Separated Spouses Filing Jointly (PDF)
PD2018-02-02	ALL	Journaling Templates for State Staff (end-dated 9/7/2018) (PDF)
PD2018-02-01	ALL	Use of Templates for Case Returns (end-dated 3/7/2023) (PDF)

2017

POLICY #	PROGRAM	POLICY NAME
PD2017-11-01	E&D	Questionable Withdrawals and Deposits (PDF)
PD2017-10-02	E&D	Notice of Intent to Allocate Income and to Transfer Resources (PDF)
PD2017-10-01	FM	Veteran’s Income (PDF)
PD2017-09-01	FM	IBU for 18 or Younger and Filing Taxes (PDF)
PD2017-07-01	E&D	Notice of Intent to Allocate Income and to Transfer Resources (end-dated 10/17/2017) (PDF)
PD2017-04-01	ALL	Reasonable Compatibility Test (end-dated 3/31/2018) (PDF)
PD2017-02-01	PPS	Medicaid Eligibility for Youth in Detention (PDF)

2016

POLICY #	PROGRAM	POLICY NAME
PD2016-09-02	FM	Medicaid Newborn Eligibility (PDF)
PD2016-09-01	FM	Requirement to Check EATSS for MAGI (PDF)
PD2016-08-02	ALL	Requesting Information - New Timelines (end-dated 7/31/2017) (PDF)
PD2016-08-01	ALL	Reasonable Compatibility Test (end-dated 4/26/2017) (PDF)

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