Training Documents and Materials

Below is a list of documents that Presumptive Eligibility (PE) specialists 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. 


Below are helpful charts for new and existing PE specialists 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 08/08/2018) - The IBU (Individual Budgeting Unit) Chart is what allows PE specialists to determine the household size for every individual who is applying for PE.

KC-7004 Countable Exempt Income Chart (effective 05/01/2022) -  The purpose of this chart is to provide guidance to PE specialists 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 07/01/2022) - Provides the total countable income limits to be eligible for specified programs.

Immigration Statuses (effective 01/20/2022) -  Categories of applicants who are eligible or ineligible based upon their immigration status.


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

Pre-Screening Questions for Presumptive Eligibility - A questionnaire to help determine if an applicant is potentially eligible for PE in both English and Spanish.

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

Fax Cover Sheet (effective 03/01/2022) - 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 PE specialists or QE the ability to assist in the application process.

PE Access and Change Request - Request or remove access for PE specialist(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.

Flyers and Other Information

2022 MCO Benefits - English, Spanish - Highlights extra services you can receive in KanCare per MCO.

PE-PW Brochure - English, Spanish - Highlights most commonly asked questions regarding PE-PW coverage

KanLearn - E-Learning website with training opportunities.


Scenario 1 
Husband is applying for his pregnant wife and their child. Reports wages and self-employment.

Scenario 2
Grandpa applying for his 2 grandchildren. Reports wages and social security benefits. 

Scenario 3
Mom applying for her 2 children, one child is pregnant. Reports self employment and wages.  

Scenario 4 
Boyfriend applying for himself, pregnant girlfriend, and their child. Reports unemployment.

Scenario 5 
Applicant applying for breast or cervical cancer for self. Reports wages.
Scenario 6 
Applicant applying for aged out of Foster Care for self. Reports  wages.

Scenario 7 
Pregnant applicant applying for coverage, non-citizen. Reports wages.

Scenario 8
Applicant applying for self, with child in home. Reports no income.