Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


Eligibility Policy - 8/21/2019

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1310 Staff Responsibility - Staff must be prudent when the circumstances of a particular case indicate the need for further inquiry. Additional substantiation or verification should be obtained whenever the information provided by the applicant or recipient is incomplete, unclear, or contradictory.

Circumstances that may require a more thorough analysis of a case include:

1310.01 - An individual who appears to be confused.

1310.02 - An individual who has a history of providing conflicting or incomplete information.

1310.03 - Documents (birth certificates, Social Security cards, etc.) that appear to have been altered.

1310.04 - Information obtained from another program through KEES according to the following
guidelines:

a. Earned income that is currently budgeted on an open or pending program; or was included on a non-active program if the income started within the past three months.

b. Unearned income that is currently budgeted on another program in any status, except for expired time-limited unearned income.

c. Non-exempt resources that are currently included on an open or pending program.

d. Other information currently used for another open or pending program that, if were validated, would result in a different eligibility outcome.

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