• Section 1.0 - State Declaration
• Section 1.1 - Designation and Authority
  • Section 1.1A - Certification of Single State Agency
  • Attachment 1.1B - Waiver Under the Intergovernmental Cooperation Act
•  Section 1.2 - Organization for Administration
  • Attachment 1.2A - Organization and Function of State Agency

• Section 2.2 - Coverage and Conditions of Eligibility
  • Attachment 2.2A Groups Covered and Agencies Responsible for Eligibility
    •  Supplement 2 - Coverage of Qualified Medicare Beneficiaries
    • Supplement 3 - Method for Determining Cost Effectiveness of Caring for Certain Disabled Children at Home
• Section 2.6 - Financial Eligibility
  •  Attachment 2.6A Eligibility Conditions and Requirements
    • Supplement 1 - Income Eligibility Levels
    • Supplement 2 - Eligibility Resource Levels
    • Supplement 3 - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid
    • Supplement 4 - Methods for Treatment of Income That Differ From Those of the SSI Program
    • Supplement 5 - Methodologies for Treatment of Income and Resources that Differ from SSI
      • Supplement 5a - Methodologies for Treatment of Resources for Individuals with Income up to a Percentage of FPL
    • Supplement 6 - Standards for Optional State Supplementary Payments
    • Supplement 7 - Categorically Needy Who Are Covered Under Requirements More Restrictive Than SSI
    • Supplement 8 - Resource Standards for 1902(f) States - Categorically Needy
      • Supplement 8a - More Liberal Methods of Treating Income under 1902(r)(2) of the Act
      • Supplement 8b - More Liberal Methods of Treating Resources under 1902(r)(2) of the Act
      • Supplement 8c - State Long-Term Care Insurance Partnership
    • Supplement 9 - Transfer of Resources
      • Supplement 9a - Transfer of Assets
      • Supplement 9b - Transfer of Assets
    • Supplement 10 - Consideration of Medicaid Qualifying Trusts - Undue Hardship
    • Supplement 11 - Methodologies for Treatment of Income and Resources That Differ From Those of the SSI Program
    • Supplement 12 - Variations from the Basic Personal Needs Allowance
    • Supplement 13 - Cost Effectiveness Methodology for COBRA Continuation Beneficiaries
    • Supplement 16 - Asset Verification System
    • Supplement 17 - Disqualification for Long-Term Care Assistance for Individuals with Substantial Home Equity
  •  Attachment 2.6B - Standards for Optional Supplementary Payments
    • Attachment 2.6B, Supplement 1 - Optional State Supplement Payment Groups - Income Levels
  • Attachment 2.6C - Eligibility Conditions and Requirements for the Medically Needy

Eligibility 

• General Eligibility Requirements - Application
  •  Continuous Eligibility for Children
  • Continuous Eligibility for Pregnant Women and Extended Postpartum Coverage
•  MACPro - Eligibility Groups - Mandatory Coverage
  • Former Foster Care Children
• MACPro - Eligibility Groups - Optional Coverage
  • Presumptive Eligibility Tool
  • Eligibility Determinations of Individuals Age 65 or Older or Who Have Blindness or a Disability
  • Health Homes Admin - Asthma QMS Reporting Set
•  Medicaid Modified Adjusted Gross Income (MAGI) Eligibility
  • S10 - MAGI-Based Income Methodologies
  • S14 - AFDC Income Standards
  • S21 - Presumptive Eligibility by Hospitals
  • S21 - Presumptive Eligibility by Hospitals (Supporting Documentation Training)
  • S25 - Mandatory Coverage - Parents and Other Caretaker Relatives
  • S28 - Mandatory Coverage - Pregnant Women
  • S30 - Mandatory Coverage - Infants and Children Under Age 19
  • S32 - Mandatory Coverage - Adult Group
  • S33 - Mandatory Coverage - Former Foster Care Children
  • S50 - Options for Coverage - Individuals Above 133 FPL
  • S51 - Options for Coverage - Optional Coverage of Parents and Other Caretaker Relatives
  • S52 - Options for Coverage - Reasonable Classification of individuals Under Age 21
  • S53 - Options for Coverage - Children with Non IV-E Adoption Assistance
  • S54 - Options for Coverage - Optional Targeted Low Income Children
  • S55 - Options for Coverage - Individuals with Tuberculosis
  • S57 - Options for Coverage - Independent Foster Care Adolescents
  • S59 - Options for Coverage - Individuals Eligible for Family Planning Services
  • S88 - Non-Financial Eligibility State Residency
  • S89 - Non-Financial Eligibility Citizenship and Non-citizen Eligibility
  • S94 - General Eligibility Requirements - Eligibility Process
  • S94 - General Eligibility Requirements - Eligibility Process (Supporting Documentation Streamlined Application)

• Section 3 - Service Provisions
  • Attachment 3.1A Amount Duration and Scope of Services for Categorically Needy_SPA Updated 012025
    • Supplement
    • Supplement 1 - Targeted Case Management
    • Supplement 3 - PACE
    • Supplement 4 - Medication-Assisted Treatment
  • Attachment 3.1B - Amount, Duration and Scope of services Provided to Medically Needy Groups
    •  Supplement - Medication-Assisted Treatment
  • Attachment 3.1D - Methods of Providing Transportation
  • Attachment 3.1E - Standards for Coverage of Organ Transplants
  • Attachment 3.1F - Managed Care_SPA Updated 012025
  • Attachment 3.1G - Alternative Benefits
• Section 3.2 - Coordination of Medicaid with Medicare and Other Insurance
  • Attachment 3.2A - Coordination of Medicare

Alternative Benefit Plan (ABP)

• Supports and Training for Employing People Successfully (STEPS)
  • ABP1 - STEPS Alternative Benefit Plan Populations
  • ABP2b - STEPS Voluntary Enrollment Assurances for Eligibility Groups Other Than the Adult Group Under Section 1902
  • ABP3.1 - STEPS Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package
  • ABP4 - STEPS Alternative Benefit Plan Cost-Sharing
  • ABP5 - STEPS Benefits Description_SPA Update 012025
  • ABP7 STEPS - Benefits Assurances
  • ABP8 - STEPS Service Delivery Systems
  • ABP9 - STEPS Employer Sponsored Insurance and Payment Premiums
  • ABP10 - STEPS General Assurances
  • ABP11 - STEPS Payment Methodology

•  Working Healthy
  •  ABP1 - Working Healthy Alternative Benefit Plan Populations
  • ABP2b - Working Healthy Voluntary Enrollment Assurances for Eligibility Groups Other Than the Adult Group
  • ABP3 - Working Healthy Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package
  • ABP4 - Working Healthy Alternative Benefit Plan Cost-Sharing
  • ABP5 Working Healthy - Benefits Description_SPA Updated 012025
  • ABP7 - Working Healthy Benefits Assurances
  • ABP8 - Working Healthy Service Delivery Systems
  • ABP9 - Working Healthy Employer Sponsored Insurance and Payment Premiums
  • ABP10 - Working Healthy General Assurances
  • ABP11 - Working Healthy Payment Methodology

• Section 4.1 - General Program Administration SPA Updated 012025
• Section 4.11 - Relations with Standards-Setting and Survey Agencies
  • Attachment 4.11a - Standards-Setting Authority for Institutions
• Section 4.14 Utilization Control
  • Attachment 4.14b - Utilization Review Methods for Intermediate Care Facilities
• Section 4.16 - Relations with State Health and Vocational Rehabilitation Agencies and Title V Grantees
  • Attachment 4.16a - Cooperative Arrangements with State Health and State Vocational Rehabilitation Agencies with Title V Grantees. 
    
    • Agreement 1
    • Agreement 2
    • Agreement 3
    • Agreement 4
    • Agreement 5
    • Agreement 6
    • Agreement 7
    • Agreement 8
    • Agreement 9
• Section 4.17 - Liens and Adjustments or Recoveries
  • Attachment 4.17a - Liens and Adjustments or Recoveries
• Section 4.18 - Medicaid Premiums and Cost Sharing
  • Attachment G1 - Cost Sharing Requirements
  • Attachment 4.18b - Imposed Enrollment Fee Charges for Medically Needy
  • Attachment 4.18d - Premiums Imposed on Low Income Pregnant Women and Infants
  • Attachment 4.18e - Optional Sliding Scale Premiums
• Section 4.19 - Payments for Services
  • Attachment 4.19a - Inpatient Hospital Care
    • Attachment A1 - Psychiatric Residential Treatment Facilities
    • Attachment A2 - Psychiatric Residential Treatment Facilities
  • Attachment 4.19b - Outpatient Hospital Care
    • Supplement 1 - Payment of Medicare A, B, C Deductibles, Coinsurance
    • Supplement 2 - 1905(a)(29) Medication-Assisted Treatment
  • Attachment 4.19c - Method of Payment for Reserving Beds During a Recipients Absence from an Inpatient Facility
    • Part I - Nursing Facilities Reserve Days
    • Part II - Nursing Facilities Reserve Days Payment Policy
    • Part III - PRTF Reserve Days Payment Policy
  • Attachment 4.19d Part I - Payments for Skilled Nursing Facilities
    • List of Contents
    • Subpart A - Cost Reporting
    • Subpart B - Audits
    • Subpart C - Payment Rate Method
    • Subpart D - Treatment Pass-Through for Special Level of Care Facilities
    • Subpart E - Rates When Two or More NFs Merge Under One License
    • Subpart F - Reserved
    • Subpart G - Nursing Facility Quality Enhance
    • Subpart H - Kansas Intergovernmental Transfer Program
    • Subpart I - Rate for Ventilator Dependent Resident
    • Subpart J - Minimum Wage Pass-Through
    • Subpart K - Durable Medical Equipment (DME) Pass-Through
    • Subpart L - Disaster Relief Provision
    • Subpart M - Reserved
    • Subpart N - Reserved
    • Subpart O - Reserved
    • Subpart P - Reserved
    • Subpart Q - Reserved
    • Subpart R - Appeal Procedures
      • Exhibit R-1
      • Exhibit R-2
    • Subpart S - Medicaid Add-On
    • Subpart T - Public Process
    • Subpart U - Quality Care Assessment Pass-Through
  • Attachment 4.19d Part II - Payments for Intermediate Care Facilities
    • List of Contents
    • Subpart A - Definitions
    • Subpart B - Change of Provider
    • Subpart C - Provider Agreement
    • Subpart D - Inadequate Care
    • Subpart E - Standards for Participation
      • Exhibit E-1
      • Exhibit E-2
    • Subpart F - Admission Procedure
      • Exhibit F-1
    • Subpart G - Certification
    • Subpart H - Inspection of Care and Utilization Review
    • Subpart I - Personal Needs Fund
    • Subpart J - Prospective Reimbursement
    • Subpart K - Reimbursement
    • Subpart L - Financial Data
    • Subpart M - Extra Care
    • Subpart N - Cost Reports
      • Exhibit N-1
      • Exhibit N-2
    • Subpart O - Rates of Reimbursement
      • Exhibit O-1
      • Exhibit O-2
      • Exhibit O-3
      • Exhibit O-4
    • Subpart P - Rates Effective Date
      • Exhibit P-1
      • Exhibit P-2
    • Subpart Q - Payment of Claims
    • Subpart R - Reserve Days
    • Subpart S - Non-Reimbursable Costs
    • Subpart T - Costs Allowed With Limitations
    • Subpart U - Revenues
    • Subpart V - Compensation
    • Subpart W - Ownership Reimbursement Fee
    • Subpart X - Interest Expense
    • Subpart Y - Central Office Cost
    • Subpart Z - Client Days
    • Subpart AA - Reserved
    • Subpart BB - Appeal Procedures
      • Exhibit BB-1
      • Exhibit BB-2
    • Subpart CC - Public Process
  • Attachment 4.19e - Definition of Claims
• Section 4.22 - Third Party Liability 
  • Attachment 4.22a - Identifying Liable Resources
    • Supplement 1 - State Laws Requiring Third Parties to Provide Coverage Eligibility and Claims Data
  • Attachment 4.22b - Payment of Claims
  • Attachment 4.22c - Cost Effectiveness for Employer Based Group Health Benefit Plans
• Section 4.24 - Standards for Payments for Skilling Nursing and Intermediate Care Facility Services
  • Attachment 4.24 Part I
    • Part I - List of Contents
    • Exhibit A-1 - Nursing Facilities
    • Exhibit A-2 - Provider Agreement
    • Exhibit A-3 - Inadequate Care
    • Exhibit A-4 - Private Pay Wings
    • Exhibit A-5 - Standards for Participation
    • Exhibit A-6 - Admission Procedure
    • Exhibit A-7 - Screening Evaluation and Referral
    • Exhibit A-8 - Personal Needs Funds
  • Attachment 4.24 Part II
• Section 4.30 - Exclusion of Providers and Suspension of Practitioners and Other Individuals
• Section 4.32 - Income and Eligibility Verification System
  • Attachment 4.32a - Income and Eligibility Verification System Procedures - Requests to Other State Agencies
• Section 4.33 - Medicaid Eligibility Cards for Homeless Individuals
  • Attachment 4.33a - Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals
•  Section 4.34 - Systematic Alien Verification for Entitlements
  •  Attachment 4.34a - Requirements for Advance Directives
• Section 4.35 - Enforcement of Compliance for Nursing Homes
  • Attachment 4.35a - Eligibility Conditions and Requirements
  • Attachment 4.35b - Termination of Provider Agreement
  • Attachment 4.35c - Temporary Management
    •  Supplement 1 - Receivership
  • Attachment 4.35d - Denial of Payment for New Admissions
  • Attachment 4.35e - Civil Money Penalty
  • Attachment 4.35f - State Monitoring
  • Attachment 4.35g - Transfer of Residents
  • Attachment 4.35h - Additional Remedies
• Section 4.38 - Nurse Aide Training and Competency Evaluation for Nursing Facilities
  • Attachment 4.38 - Disclosure of Additional Registry Information
  • Attachment 4.38a - Collection of Additional Registry Information
• Section 4.39 - Pre-admission Screening and Annual Resident Review in Nursing Facilities
  • Attachment 4.39 - Definition of Specialized Services
• Section 4.40 
  • Attachment 4.40a - Survey and Certification Education Process
  • Attachment 4.40b - Process for Investigation of Allegations of Resident Neglect
  • Attachment 4.40c - Procedures for Scheduling and Conduct of Standard Surveys
  • Attachment 4.40d - Programs to Measure and Reduce Inconsistency
  • Attachment 4.40e - Process for Investigations of Complaints and Monitoring
• Section 4.42 - Employee Education About False Claim Recoveries
  • Attachment 4.42a - Method of Compliance Oversight and Frequency with which the State will Reassess Compliance

• Section 5.1 - Standards of Personnel Administration
  • Section 5.1A - Standards for a Merit System of Personnel Administration

• Section 6.1 - Fiscal Policies and Accountability

• Section 7.1 - Plan Amendments
• Section 7.2 - Non-Discrimination
  • Attachment 7.2A - Methods of Administration - Civil Rights Act (Title VI)
• Section 7.3 - Maintenance of AFDC Effort
  •  Attachment 7.3 - Governor Acknowledgement