Eligibility for OneCare Kansas

There are rules that apply to OneCare Kansas and who will be eligible.  

To be eligible for OneCare Kansas, a member must have at least:

  • 1 serious and persistent mental illness, defined as having at least one of the following diagnoses:
    • Paranoid Schizophrenia
    • Severe Bipolar Disorder
  • Or one chronic condition defined as people who have Asthma that also are at risk for developing:
    • Diabetes
    • Hypertension
    • Kidney Disease (not including Chronic Kidney Disease Stage 4 and ESRD)
    • Cardiovascular Disease
    • COPD
    • Metabolic Syndrome
    • Mental Illness (not including Paranoid Schizophrenia and Severe Bipolar Disorder)
    • Substance Use Disorder
    • Morbid Obesity (body weight 100lbs over normal body weight, BMI greater than 40, or BMI over 30 with obesity-related health problems)
    • Tobacco Use or exposure to second hand smoke

The Secretary of the US Department of Health and Human Services can allow states to include additional chronic conditions.