Training Documents and Materials

Below is a list of documents that new Presumptive Eligibility (PE) workers at Qualified Entities can use for training and reference.


Presumptive Eligibility Policy & Procedure –  Presentation that provides all of the fundamentals- What PE is, who is eligible, how to enroll applicants, and the business process from start to finish.

Scenarios - Scenarios completed during the PE Policy & Procedures course.


Below are helpful charts for new and existing PE workers that can be utilized during the PE application process.

Who Can Apply for Individuals - A chart that shows which individuals can apply for KanCare on behalf of each demographic category.

MAGI Building Individual Budgeting Units (effective 8/8/2018) - The IBU (Individual Budgeting Unit) Chart is what allows PE workers to determine the household size for every individual who is applying for PE.

KC-7004 Countable Exempt Income Chart (effective 6/19/2021) -  The purpose of this chart is to provide guidance to staff with regard to which income types are countable or exempt for both Family Medical and Elderly and Disabled Medical programs.

Income Conversion - Illustrates the calculations used to convert income to a monthly amount.

F-8 KS Medical Standards
 (effective 7/1/2021) - Provides the total countable income limits to be eligible for specified programs.

Immigration Statuses (effective 6/1/2021) -  Categories of applicants who are eligible or ineligible based upon their immigration status.


Below are forms PE workers will utilize while assisting applicants apply for coverage.

Pre-Screening Tool - Designed to determine if an applicant is potentially eligible for PE.

Fax Cover Sheet (effective 6/1/2021) - Used to identify the sender, the intended recipient, the subject, and a brief description about the content of the attached document(s).

KC-6200 Facilitator Authorization Form - English, Spanish - Allows the applicant to designate the worker or QE the ability to assist in the application process.

PE Access and Change Request - Request or remove access for PE worker(s). 

KC-1100 KanCare Family Medical Signature Page - The signature page for the KanCare Family Medical Application. Must be signed and dated by the consumer.

KC-4501 Facility Birth Reporting form for Medicaid Deemed Newborn (effective 2/01/2019) -Use of this form is intended for reporting the birth of a newborn born to a Medicaid recipient.  

Flyers and Other Information

2021 MCO Benefits - English, Spanish - Highlights extra services you can receive in KanCare per MCO.

PE Resource Manual - A step by step guide of the PE portal. 

KanLearn - E-Learning website with training opportunities.

Links & Resources