Resource Information

KanCare Ombudsman Resources

  1. Who Should I Call - Consumers: Three-page information sheet with important KanCare and related agency contact numbers.
  2. KDHE Fact Sheets
  3. Assistance for Those Without Insurance: Medical, Prescription, Vision and Dental -- Clinics in Kansas that take low income patients based on eligibility and a sliding scale. It also includes pharmacy assistance.
  4. Grievances, Appeals and Fair Hearings
  5. KCDC Disability Services Maps 2018 
  6. Children and Families Applications (scroll to bottom of web page)
  7. Elderly and Disabled Applications (scroll to bottom of web page)
  8. Medicare Savings Program Application (scroll to bottom of web page)
  9. Application Assistance Guide - Where to Find Help with Medicaid Applications
  10. Application Assistance Folder: see 3 documents in table below
FileTypeSizeUploaded onDownload
Application ChecklistPDF411.19 KB16 Mar, 2017 Download
Documentation Checklist for KanCare ApplicationsPDF488.78 KB16 Aug, 2017 Download
Flow Chart for KanCare Application Process and FAQsPDF382.64 KB18 Jul, 2018 Download

General Information Fact Sheets

FileTypeSizeUploaded onDownload
ADA and Deaf-HHPDF444.99 KB09 May, 2018 Download
ADA and Deaf-HH -- Large PrintPDF356.43 KB09 May, 2018 Download
Adult Disabled ChildPDF198.00 KB09 May, 2018 Download
Adult Disabled Child -- Large PrintPDF199.41 KB09 May, 2018 Download
Early Detection WorksPDF351.02 KB09 May, 2018 Download
Early Detection Works -- Large PrintPDF353.96 KB09 May, 2018 Download
MediKanPDF306.00 KB09 May, 2018 Download
MediKan -- Large PrintPDF309.80 KB09 May, 2018 Download
MSP Extra HelpPDF265.21 KB09 May, 2018 Download
MSP Extra Help -- Large PrintPDF268.03 KB09 May, 2018 Download
Selecting-Changing an MCOPDF297.43 KB09 May, 2018 Download
Selecting-Changing an MCO -- Large PrintPDF301.63 KB09 May, 2018 Download
Refugee - Immigration Fact Sheet -- Large PrintPDF183.75 KB03 Aug, 2018 Download
Refugee - Immigration Fact SheetPDF182.36 KB03 Aug, 2018 Download

Additional Resources

Forms

  1. Authorization for Release of Protected Health Information: for an individual to get release of information for organizations, providers, or a class of persons (like a targeted case manager or care coordinator)
    English
    Spanish

  2. Medical Representative Authorization: for persons on Medicaid to authorize (allow) another person to help them with medical calls, paperwork, etc. If the person assisting is a DPOA or Guardian, they must include that paperwork with this form. Read the form carefully for details.

  3. Authorized Representative Designation Form for Grievances, Appeals and Fair Hearings
    Authorized Representative Designation Form for Grievances, Appeals and Fair Hearings Large Print

  4. Submitting a Change to KanCare Clearinghouse