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In-Home Care in Kansas

Kansas has a rapidly growing senior population that the U.S. Census Bureau estimates will comprise 25% of the state’s residents by 2030. The state is also home to several highly ranked hospitals, including the University of Kansas Hospital in Kansas City and Stormont Vail Hospital in Topeka. These assets, in addition to in-home care costs that hover about $500 per month below the national average, make Kansas an attractive destination for people over 60 years old. In-home care provides assistance with grocery shopping, housekeeping and other daily living activities but is less intensive than home health care, which includes services such as physical and occupational therapy.

This guide covers the cost of in-home care in Kansas, what Medicare and Medicaid do and don’t cover, the other financial assistance options available for seniors in Kansas needing in-home care, free and low-cost resources for seniors in Kansas, and the Covid-19 rules for Kansas in-home care providers.

The Cost of In-Home Care in Kansas

According to the Genworth Cost of Care Survey that looked at health care costs in 2021, in-home care in Kansas costs an average of $4,576, making it less expensive than in any of the bordering states. Colorado’s costs are the most expensive at $6,387, followed by Nebraska at $5,148, Oklahoma at $4,862 and Missouri at $4,767. Kansas’s in-home care costs are also below the national median of $4,957.

Kansas

$4576

The United States

$4957

Colorado

$6837

Nebraska

$5148

Oklahoma

$4862

Missouri

$4767

The cost of in-home care in Kansas varies from city to city. Of the largest metropolitan areas in Kansas, the state capital of Topeka has the highest average costs at $5,625 per month. Next is Kansas City at $4,957 per month. The lowest costs in any of Kansas’s large cities — $4,767 per month — are found in Wichita.

Topeka

$5625

Kansa City

$4957

Wichita

$4767

In-home care is not the only kind of care available to seniors in Kansas who need assistance with activities of daily living. Depending on the level of care needed and the person’s budget, several other options exist. The most expensive option that also offers the highest level of care is a nursing home facility, where a semiprivate room averages $6,296 per month. Next is home health care, which is similar to in-home care but provides a slightly higher tier of medical services and averages $4,671 per month compared to in-home care at $4,576 per month. Also in the same price tier is an assisted living facility, which costs $4,580 per month on average. Seniors needing a lower level of care and wanting to save money might opt for adult day health care, which averages only $1,788 per month.

In-Home Care

$4576

Home Health Care

$4671

Nursing Home Care

$6296

Assisted Living

$4580

Adult Day Health Care

$1788

Does Medicaid Cover Home Care in Kansas?

KanCare, the name of Kansas’s Medicaid program, covers certain in-home care costs in Kansas through the waiver programs Senior Care Act (SCA) and Older Americans Act (OAA). Because KanCare pays for nursing home care for eligible seniors, its waiver programs will often cover in-home care costs if they are deemed medically necessary and they cost the same as or less than nursing home care.

The SCA covers in-home services for seniors who have a demonstrated need for them. Recipients of the waiver are expected to contribute to the cost of their care on a sliding, income-based scale. The OAA provides assistance with in-home care, along with other benefits such as legal assistance and nutrition counseling.

Home Care Waiver Programs in Kansas

Senior Care Act (SCA)

To qualify for benefits under the SCA, Kansas residents must be 60 or older, meet income guidelines and undergo a functional assessment to determine their physical needs. The program covers services that may include respite care, attendant care, homemaker services, chore services and adult day care, but the specific benefits can vary by county. Seniors interested in applying for SCA benefits should contact the Area Agencies on Aging at (855) 200-2372.

Older Americans Act (OAA)

To qualify for OAA benefits, Kansas residents must be at least 60 years old and have a demonstrated need for services. Services provided include in-home care along with nutritional assistance, legal aid, transportation and information on an array of senior services. OAA benefits may be free or require a monetary contribution, depending on the service and the level of need. To apply for OAA services, seniors should contact the Area Agencies on Aging at (855) 200-2372.

How to Know If You’re Eligible for Medicaid in Kansas

To receive Medicaid benefits in Kansas, known as KanCare, seniors must meet certain financial requirements. Although there is no set income limit to receive KanCare, any income in excess of $2,523 per month must go toward care costs. In addition, residents who receive Supplemental Security Income (SSI) automatically qualify for KanCare. The income limits for SSI are $841 per month for a single person and $1,261 per month for a married couple. KanCare also has asset limits: $2,000 for a single applicant and $3,000 for a couple applying together.

2022 Medicaid Income Limits for Seniors in Kansas

2022 Basic Medicaid Income Limits for Seniors in Kansas

NameIncome limits*Asset limits
Single PersonNo set income limit$2,000
Two-Person Household (Both Persons Applying)No set income limit$3,000
Two-Person Household (One Person Applying)No set income limit$2,000 (Applicant) $137,400 (Non-applicant)

In addition to qualifying based on income and assets, KanCare applicants must meet the following criteria:

  • Kansas resident at time of application 
  • U.S. citizen, permanent resident or legal alien
  • In need of healthcare assistance

At least one of the following:

  • 65 or older
  • Pregnant
  • Blind
  • Disabled, or caring for a disabled family member
  • Responsible for a child 18 or younger

How to Apply for Medicaid in Kansas

The easiest way to apply for KanCare is to do it online. Applicants can also apply by phone at (800) 792-4884. Those who prefer to fill out a paper application can download one from the website, fill it out and send it to:

KanCare Clearinghouse
PO Box 3599
Topeka, KS 66601-9738

What Information You Will Need

When you apply for KanCare, you will need a few items. Make sure you have your ID cards on hand, including a photo ID such as a passport or driver’s license, and your Social Security card. You will also need your most recent tax return and bank statements, along with your health insurance information.

How to Get Help Applying for Medicaid

The KanCare application process can get complex, and the requirements are lengthy and somewhat strict. These factors might make it difficult to apply or may at least prompt questions throughout the process. If you need help applying for Medicaid in Kansas, you can use the following resources:

ProgramContactAreaServedServices provided
Healthcare.gov Local Help Line(800) 318-2596Entire StateThe Healthcare.gov local helpline provides seniors with information about eligibility, specific Medicaid and Medicare benefits and how to apply.
Kansas Department of Health and Environment(785) 296-1500Entire StateThe Kansas Department of Health and the Environment administers the KanCare program. The department is an excellent resource for seniors who have specific questions about eligibility or the application process.
Kansas Long-Term Care Ombudsman(786) 296-3017Entire StateThe Kansas Long-Term Care Ombudsman serves as a liaison between Kansas seniors and their health care providers and insurers. It focuses on patients' rights and can help seniors ensure they are getting every benefit to which they are entitled.

Does Medicare Cover In-Home Care in Kansas?

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.

  • Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
  • Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
  • Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
  • Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.

As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

Other Financial Assistance Options for In-Home Care in Kansas

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read Caring.com’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost Resources for Seniors in Kansas

While aging in place lets Kansas seniors maintain their present lifestyle and routine, stay close to friends and family and enjoy the freedom and autonomy of living independently, it comes with a number of challenges. Fortunately, seniors in Kansas have a number of resources they can turn to for help with difficulties as they arise.

ResourceContactAreaServedService
Kansas Department for Aging and Disability Services(785) 296-4986Entire StateThe Kansas Department of Aging and Disability (KDADS) Services promotes self-sufficiency among the state's senior population, offering a host of services that run the gamut from behavioral health services and aging services to substance abuse treatment. The KDADS website also provides abundant information about senior services and benefits in the state.
Kansas Legal Services(800) 723-6953Entire StateKansas Legal Services (KLS) operates along with the Area Agencies on Aging (AAA) and the Kansas Department for Aging and Disability Services (KDADS) as part of a statewide network helping seniors access benefits and resources they need to retain their independence as they age in place. KLS offers legal aid for free or at a discounted cost, which can help seniors in situations that include Medicare or Medicaid disputes or falling victim to fraud.
Area Agencies on Aging(855) 200-2372Entire StateKansas has local Area Agencies on Aging throughout the state to help seniors locate and apply for benefit programs for which they qualify. These agencies also connect seniors with other resources to help them safely and comfortably age in place.

In-Home Care Laws and Regulations in Kansas

In Kansas, in-home care is officially called attendant care services. Agencies that provide in-home care services are governed by the Department of Health and Environment, but are not required to be licensed by the department.

TopicRule
Scope of CareThe extent of home care services depends on the degree and nature of a senior's needs. Services typically include light housekeeping, pet care, shopping, companionship, financial planning, medical transportation and assistance with activities of daily living. In-home care providers may also complete health-related tasks that don't include professional nursing or medical services, such as medication reminders and preparing meals that are consistent with physician-ordered diets.
Care Plan RequirementsThe home health services team must create personalized care plans for patients based on their diagnosis and their immediate and long-term care needs. If any services in the care plan require a physician's authorization, then the care plan must be signed and renewed by a physician every 62 days.
Medication Management RequirementsIn-home care providers are able to administer medications, enemas and suppositories if, in the opinion of a senior's physician or a licensed professional nurse, they could be self-administered if the individual were physically able to do so and if it can be done safely at home.
Staff Screening RequirementsHome health agencies in Kansas must ensure that caregivers are in good health and have a negative tuberculin skin test or chest x-ray upon employment. Periodic health assessments should be conducted throughout the course of the caregiver's employment. The agency must also document reference checks and a personal interview prior to employment.
Staff Training RequirementsIn Kansas, there are no training requirements for agencies that only provide attendant care services.
Medicaid CoverageIn-home care in Kansas is covered by KanCare through the state's Frail and Elderly waiver program. This waiver pays for home care and home support services for those who require nursing home-level care but wish to remain at home.
Reporting AbuseAll in-home care employees are mandated reporters and must report witnessed or suspected abuse. Cases of abuse or neglect should be reported to the Kansas Department for Aging and Disability Services at 1-800-842-0078. All investigations are confidential and provided free of charge.

Frequently Asked Questions

How to Find an In-Home Care Provider in Kansas

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At Caring.com, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.

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Finding a Home Care Provider Checklist
Finding a Home Care Provider Checklist

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Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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