On Thursday, the Kansas Department for Aging and Disability Services announced that the state and the Centers for Medicare and Medicaid Services (CMS) have reached an agreement to the State's proposed amendment to the 1115 demonstration for home and community based services (HCBS) for individuals with intellectual and/or developmental disabilities (I/DD). Starting on February 1, 2014, HCBS services and targeted case management for individuals in the Kansas I/DD waiver program will be integrated into KanCare. There are 12 services provided under the I/DD program, including residential and day supports, assistive services, medical-alert rental, financial management services, personal assistance services, overnight respite, sleep-cycle supports, specialized medical care, supportive employment, supportive home care and wellness monitoring. The change will affect approximately 8,500 Kansans.
Additionally, CMS has agreed to Kansas' plan to eliminate the I/DD waiver program's "underserved" waiting list, which is comprised of individuals with developmental disabilities who are already receiving Medicaid services necessary to allow them to continue to live independently, but who have requested additional services. Plans of care for all of these individuals will be reassessed to ensure that all consumers get the care they need.
Disability rights advocates have cautioned states moving toward managed care service delivery models that people with I/DD have unique needs, and urge states to ensure that any managed care program takes into account those needs that differ from other covered populations.