Apply for KanCare

The KanCare application website will not be available starting 5 p.m., Thursday, Aug. 17 for a system upgrade. We plan to complete the upgrade by early September. To ensure your online application is submitted, please complete prior to 5 p.m., Aug. 17. Please see the downloadable applications below to apply for medical assistance during this time.  It can either be mailed or faxed to the KanCare Clearinghouse. You may also contact the KanCare Clearinghouse and request a paper application be mailed to you.
Fax: 1-800-498-1255
Mail: KanCare Clearinghouse P.O. Box 3599 Topeka, KS 66601-9738
Phone: 1-800-792-4884.

Coverage

If you do not currently have coverage for KanCare, you can apply online. To apply for medical coverage, you must complete and submit an application. Use the guide below to get an application for you and your family.

Individuals with disabilities and the frail elderly applying for KanCare who believe they may qualify to receive long-term services and supports, Home- and Community-Based Services (HCBS), make sure you check the box on the application that asks "Does this person need help with nursing home costs or in-home care?"

The application provides a large amount of detail on how to apply for the Medicaid waiver in-home services, which allows people to remain in their homes and communities, as well as for medical care. You can download and print an application if you go to the link on this page:

If you are unsure which application to use, call toll-free at: 800-792-4884

For Elderly Persons With Disabilities

  • Elderly
  • Adults with Disabilities
  • Children with Disabilities

To apply online visit the Medical Consumer Self-Service portal

To request and application, call: 800-792-4884

Fax applications to: 844-264-6285

Helpful Guide to completing the Application:
Elderly & Disabled Application Guide

For Families And Children

  • Children
  • Pregnant Women
  • Families with Children

To apply online visit the Medical Consumer Self-Service portal

To request and application, call: 800-792-4884

Fax applications to: 800-498-1255

VIDEO - Filling out a KanCare Application for People Entering a Nursing Home

This video is designed to guide nursing facility workers who help patients apply for long-term care coverage under Medicaid/KanCare.
Filling out a KanCare Application for People Entering a Nursing Home

Applications & Additional Information for Families and Children

FileTypeSizeUploaded onDownload
KC1100 - Medical Assistance Application for Families with ChildrenPDF2.29 MB02 Nov, 2016 Download
KC1100S - Medical Assistance Application for Families with Children - En EspanolPDF1.91 MB02 Nov, 2016 Download
KC2100 Families with Children BrochurePDF2.85 MB02 Nov, 2016 Download
KC2100S - Asistencia M├ędica para Familieas con NinosPDF2.85 MB02 Nov, 2016 Download
KC2110 - Helpful-Hints for FamiliesPDF267.39 KB02 Nov, 2016 Download
KC2110S - Helpful-Hints for Families - En EspanolPDF271.78 KB02 Nov, 2016 Download

Applications & Additional Information for Elderly and Person with Disabilities

FileTypeSizeUploaded onDownload
KC1500 - Medical Assistance Application for the Elderly and Persons with DisabilitiesPDF1.41 MB02 Nov, 2016 Download
KC1500S - Medical Assistance Application for the Elderly and Persons with Disabilities - En EspanolPDF2.29 MB02 Nov, 2016 Download
KC2500 - Elderly and Persons with Disabilities BrochurePDF3.02 MB02 Nov, 2016 Download
KC2500S - Elderly and Persons with Disabilities Brochure - En EspanolPDF3.02 MB02 Nov, 2016 Download
KC2510 - Application Helpful Hints for Elderly and Disabled - En EspanolPDF394.04 KB02 Nov, 2016 Download
KC2510 - Application Helpful Hints for Elderly and DisabledPDF379.62 KB02 Nov, 2016 Download
KS KC1500 Elderly & Disabled Application guidePDF308.64 KB18 Jan, 2017 Download

Medicare Savings Applications

FileTypeSizeUploaded onDownload
Medicare Savings BrochurePDF258.46 KB31 Jan, 2017 Download
Medicare Savings Brochure SpanishPDF230.30 KB31 Jan, 2017 Download
Medicare Savings Program ApplicationPDF104.59 KB31 Jan, 2017 Download
Medicare Savings Program Application - SpanishPDF610.59 KB16 Mar, 2017 Download