Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


Eligibility Policy - 1/22/2022

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01120 Basis of Programs and Policies - The Kansas Department of Health and Environment - Division of Health Care Finance (KDHE-DHCF) has the responsibility to develop state plans for furnishing assistance and services to eligible individuals and to determine the general policies relating to the medical assistance programs. The Kansas programs are independent from programs administered in other states unless otherwise stated in this manual. An application for assistance in Kansas shall be treated as a new application.

Therefore, a new determination of eligibility rendered by another state shall not, in and of itself, affect eligibility in Kansas.

Policies set forth in this manual are based upon various federal and state statutes and administrative regulations. The following citations provide an overview of the primary statutory and regulatory references on which the programs are based.

Medicaid

-42 United States Code Annotated (U.S.C.A.), Subsection 1396a et seq.

-42 Code of Federal Regulations (C.F.R.), Parts 430 - 456

-Kansas Statutes Annotated (K.S.A.), 39-708c, 39-209(e)

-Kansas Administrative Regulations (K.A.R.), Chapter 30, Article 6 and Chapter 129, Article 7

CHIP

-Section 2103 of Public Law 105-32

-Kansas Administrative Regulations (K.A.R.), Chapter 30, Article 14

Fair Hearings

-42 Code of Federal Regulations (C.F.R.), Part 205

-Kansas Statutes Annotated (K.S.A.), 75-3306

-Kansas Administrative Regulations (K.A.R.), Chapter 30, Article 7 and Chapter 129, Article 7

Confidentiality Policies

-Kansas Statutes Annotated (K.S.A.), 39-709b

-Kansas Administrative Regulations (K.A.R.), Chapter 30, Articles 2-11

This manual has been developed to implement the policies set forth in the above-mentioned statutes and administrative regulations. Thus, the provisions of the manual are to be followed by program staff when determining eligibility of applicants or recipients for assistance in accordance with K.A.R. Chapter 30, Article 2.

Providing assistance is a continuing and comprehensive process, embracing all parts of the administration of the welfare program. All of the steps or parts of the process are interrelated and must be planned for, and ultimately judged, in terms of the effectiveness of the complete administration.

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