Resource Information

KanCare Ombudsman Resources

  1. Who Should I Call - Consumers: Three-page information sheet with important KanCare and related agency contact numbers.
  2. KanCare Ombudsman General Information Fact Sheets
  3. KDHE Fact Sheets
  4. Assistance for Those Without Insurance or High Spend Down: Medical, Prescription, Vision and Dental -- Clinics in Kansas that take low income patients based on eligibility and a sliding scale. It also includes pharmacy assistance.
  5. KanCare Grievances Process
  6. KanCare Appeal and Hearing Process
  7. Eligibility and Renewal Grievance Process
  8. Eligibility and Renewal Hearing Process
  9. KCDC Disability Services Maps 2018
  10. Children and Families Applications (scroll to bottom of web page)
  11. Elderly and Disabled Applications (scroll to bottom of web page)
  12. Medicare Savings Program Application (scroll to bottom of web page)
  13. Application Assistance Guide
  14. Application Assistance Folder: see 3 documents in table below
FileTypeSizeUploaded onDownload
Application ChecklistPDF419.00 KB16 Mar, 2017 Download
Documentation Checklist for KanCare ApplicationsPDF652.46 KB16 Aug, 2017 Download
Flow Chart for KanCare Application Process and FAQsPDF379.75 KB11 Apr, 2018 Download

Additional Resources

Forms

  1. Authorization for Release of Protected Health Information: for an individual to get release of information for organizations, providers, or a class of persons (like a targeted case manager or care coordinator)
    English
    Spanish

  2. Medical Representative Authorization: for persons on Medicaid to authorize (allow) another person to help them with medical calls, paperwork, etc. If the person assisting is a DPOA or Guardian, they must include that paperwork with this form. Read the form carefully for details.

  3. Authorized Representative Designation Form: for Appeals, Hearings and Grievances

  4. Submitting a Change to KanCare Clearinghouse

  5. Third Party Liability Insurance Update