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Home & Community-Based Services: State-Only Funded Programs in Kansas

States may be required to contribute match funding to some federally funded long-term care (LTC) programs and to different extents. In FY 2003 states spent 21.4% of total state expenditure on Medicaid (NASBO, 2004). Total expenditures for HCBS are increasing and totaled $16.4 billion in FY 2001, with states paying between 1.7% and 13.3% of total health care expenditures on HCBS in FY 2001 (Milbank 2003). Medicaid spending grew quickly in the early 2000s, forcing state legislatures and officials to investigate ways to contain Medicaid costs rather than expanding services (Coleman et al 2003).

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Program Name: Senior Care Act Program ³,⁴,¹⁶

Administrative Agency: Dept of Aging

Population Served: Elderly 60+

Annual Expenditure: $7,424,665 FY05 (with copay from consumers and local match)

Funding Source: General Revenue, local funds, clients contribute

Number of People Served: 6,500 FY05

Eligibility Criteria: 2 ADLs, 3+ IADLs or combination of ADL/IADLs. Individuals who do not meet the financial &/or functional eligibility requirements of Medicaid &/or individuals waiting placement on Medicaid HCBS program or placement in a nursing home. No income or asset limit.

Further Information: Cost control: Cost cap $1,445/mth. $1332 av. Individual expenditure/yr. No service limits applied. Co-pay on sliding scale related to liquid assets. Quality control: Quality Assurance Division reviews individual care. Consumer direction Can be consumer directed.

Program Name: Income Eligible Program¹⁶

Administrative Agency: Dept on Aging

Population Served: Elderly, 60+

Annual Expenditure: $4,322,172 FY00

Funding Source: General revenue

Number of People Served: 3,147 FY00

Eligibility Criteria: People with incomes less than 150% FPL who are not Medicaid eligible because of their income level &/or assets, but are at risk of institutionalization because of their functional level & would be able to reside in a community based residence if some services were provided.

Further Information:

Program Name: In-Home Nutrition Program¹⁶

Administrative Agency: Dept on Aging

Population Served: Elderly

Annual Expenditure: $1,069,411 FY00

Funding Source: General revenue

Number of People Served: N/A

Eligibility Criteria: Individuals who are moderately to severely impaired, and who are homebound

Further Information:

Program Name: State-Funded Case Management¹⁶

Administrative Agency: Dept on Aging

Population Served: Elderly (60+)

Annual Expenditure: $2,820,456 FY05

Funding Source: General revenue

Number of People Served: 3,313 FY05

Eligibility Criteria:

Further Information:

Program Name: State-Funded Custom Care¹⁶

Administrative Agency: Dept on Aging

Population Served: Elderly

Annual Expenditure: $94,846 FY00

Funding Source: General revenue

Number of People Served: 668 FY00

Eligibility Criteria:

Further Information:

Program Name: State Funded Environmental Modification¹⁶

Administrative Agency: Dept on Aging

Population Served: Elderly

Annual Expenditure: $64,919 FY00

Funding Source: General revenue

Number of People Served: 336 FY00

Eligibility Criteria:

Further Information:

Abbreviations:

AAAs - Area Agencies on Aging.

ADL - Activities of Daily Living.

AT - Assistive Technology. Dept - Department.

FY - Financial Year.

HCBS - Home & Community-Based Services.

LTC - Long Term Care. Mth - month. Rehab - Rehabilitation.

Mth - month.

Rehab - Rehabilitation.

SCI - Spinal Cord Injury.

SSBG - Soical Services Block Grant.

TBI - Traumatic Brain Injury.

Wk - week.

Yr - year.

Footnotes:

(a) Note that some figures listed are the yearly appropriation, not expenditure.

(b) Sources of funding are listed in the language with which they are reported.

(c) The figures for number of participants are not necessarily figures for unduplicated participants.

Notes:

(1) The definitions of the services provided in programs may differ between states.

(2) Unless otherwise stated, programs are statewide.

(3) Programs where it is known that funding may come from a variety of sources, including non-state only funds (e.g. Older Americans Act) are indicated by the program name in italics.

(4) The table does not include Mental Health Services programs.

(5) All information is the most up-to-date found from secondary sources noted in the references.

(6) N/A means the information has not been found (not available).

(7) all programs primarily aim to support people to live in the community, therefore there may be additional state only funded programs but these are not directly to support HCBS.

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