MedicaidAdministrativeMedium impact
KMAP BULLETIN: HCBS Physical Disability Waiver Eligibility Policy
Kansas Medicaid (KanCare)·KS · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Specialty Services
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas HCBS Physical Disability Waiver program has updated eligibility criteria and assessment procedures, replacing Aging and Disability Resource Centers with HCBS Assessing Entities. Key changes include annual reassessments every 365 days, new 5-day timeline for initial referral assessments, and explicit exclusion of individuals with primary I/DD diagnoses.
Action Required
Before April 1, 2025: Billing and clinical staff must update HCBS Physical Disability waiver procedures to reflect new HCBS Assessing Entity terminology in all documentation. Ensure annual reassessments are scheduled every 365 days for active participants. Stop processing PD waiver services for individuals with primary Intellectual/Developmental Disability diagnoses. Update referral workflows to meet new 5-day assessment timeline requirements.