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KanCare Ombudsman Resources

Note: To accommodate people with disabilities, auxiliary aides, services and modifications to policies will be provided on request. Please call Robert Stevens, KanCare Ombudsman Specialist, at 785-296-1492 or 711 (Relay) to make request at least five working days prior to training session.

KanCare Programs and Fact Sheets

Renewal Fact Sheets
KDHE Fact Sheets - Investigate KanCare/Medicaid programs and eligibility for each.
Home and Community Based Service (HCBS) Waiver Programs
Appeals & Fair Hearings
Client Obligation-Patient Liability Calculation Fact Sheet 2022
KanCare Ombudsman Brochure
PACE Brochure and Service Map

KanCare Applications and Assistance

Children and Families Applications
Elderly and Disabled Applications
Medicare Savings Program Application
Application Assistance Guide Jan 2022 - Where to Find Help with Medicaid Applications
Application Assistance Folder

General Health and Disability Resources

Who Should I Call - Consumers & Helpful Numbers: Information sheet with important KanCare and related agency contact numbers.
- Who Should I Call - English
- Who Should I Call - Spanish
Who Should I Call Providers: Information sheet with important KanCare and related contact information for Providers
Assistance for people who are Uninsured August 2021: 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.
Marketplace. Enroll with the Marketplace. Find help from a Navigator. New coverage information!
KCDC Disability Services Maps 2023
Directory of Mental Health Resources in Kansas 2023
2023 Federal Poverty Guidelines
Cultural Awareness and Trauma Informed Care Training
Accessibility Guidelines for Word and PowerPoint
How to make Accessible Videos
State ADA Coordinator and Grievance Process

Additional Resources

Understanding Long Term Care Thank you to Prescott Country View, Prescott, KS for sharing this valuable document
FAQ Good Cause Reasons to Change Your Plan
How to Apply for Medicare
How to Apply for Social Security Disability

Forms

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). The person or organization listed on line 1 and/or line 2 does not act on behalf of the member. The person or organization listed on line 1 and/or line 2 cannot request services for the beneficiary.

Medical Representative Form: for persons on Medicaid to authorize (allow) another person to help them with medical calls, paperwork, turn in your renewal each year, use your medical card for you, etc. If the person assisting is a DPOA or Guardian, the do not need to complete the Medical Representative form in order to act on behalf of the individual. The Financial DPOA paperwork or Guardianship paperwork must be provided to the KanCare Clearinghouse.

Facilitator Authorization Form: A facilitator is a person who can help fill out an application and help with the application process. Eligibility people will be able to share information with this person. This person will get copies of letters sent to the applicant about the application. After the application is processed, the facilitator is not connected to your case. A facilitator can be someone such as a relative, neighbor, friend, medical office staff, or community organization employee.

Authorized Representative Designation Form for Grievances, Appeals and Fair Hearings

Authorized Representative Designation Form for Grievances, Appeals and Fair Hearings
Authorized Representative Designation Form for Grievances, Appeals and Fair Hearings Large Print

Submitting a Change to KanCare Clearinghouse Form: It is important to provide current income, address and household composition changes to the KanCare Clearinghouse while eligible for KanCare.

Community Resources by County

Community Resources include information for medical, food, transportation and shelter along with information and referral.

This information is provided as a community service and does not constitute endorsement. This is not an exhaustive list of resources. Not all counties are available yet. As they become available, they will be added to the list.

The Community Resources by county are made available through a partnership with the University of St. Mary's internship program with the Health Information Management program. Our sincerest thanks to the many interns/volunteers who have created and updated these resources.

Counties in Alphabetical Order

The KanCare Ombudsman Office does not endorse or recommend any organization, provider, or philosophy that people may encounter from the resources, events, or websites listed or guarantee accessibility of those sites. The KanCare Ombudsman Office encourages you to obtain more information about any resource prior to making use of those resources.

Reports

The following reports are the quarterly and annual reports turned in to the Legislature, Kansas Department of Health and Environment (KDHE) and Centers for Medicare and Medicaid Services (CMS) each quarter.

Reports » Annual Reports

KanCare Ombudsman Office Grievance Process

This process is for applicants, members or their authorized representative who have been in contact with the KanCare Ombudsman Office and are dissatisfied with the help they have received.

For grievances regarding eligibility, managed care organizations (Aetna, Sunflower, United), Fee for Service (FFS), and providers go to the Appeals & Fair Hearings page for assistance.

What is a grievance?

It is an expression of dissatisfaction about contact with the KanCare Ombudsman Office. It is NOT an expression of dissatisfaction regarding eligibility, managed care organizations, FFS services, or providers.

Examples of a Grievance

Concerns about help or resources provided by the KanCare Ombudsman Office employee or volunteer
You are unhappy with customer service during your contact with the KanCare Ombudsman Office, for example: failure to respect a person’s rights and dignity during contact.

Are there deadlines for filing a grievance?

No. An applicant, member or their authorized representative may submit a grievance at any time.

How do I submit a grievance?

The applicant, member or their authorized representative may submit a grievance in writing to kdhe.KanCare@ks.gov. You can also call 785-296-8903. This phone number is only to be used for a grievance against the KanCare Ombudsman Office or the state.

Is there a grievance form?

No specific form is required when submitting a KanCare Ombudsman Office grievance.

What is the process once submitted?

Kansas Department for Health and Environment/Health Care Finance will contact the appropriate person that can research and resolve the grievance.

KanCare Ombudsman Office Survey

The KanCare Ombudsman Office helps Medicaid members and applicants with problems regarding their services, coverage, access and rights (for example: answering questions, resolving issues, understanding letters from KanCare, etc.)

The KanCare Ombudsman Office Survey is used to find out what our stakeholders think about how we are doing our job, so we can make improvements. (Note: stakeholders include members, applicants, providers and others.) The survey is available to the public during October annually. The results of the survey are included with the 2022 KanCare Ombudsman Annual Report and are posted on this page under Survey Results.

Overview of the KanCare Ombudsman Office