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Last Updated: January 14, 2026
Section 1: Single State Agency Organization
Section 2: Coverage and Eligibility
- Section 2.2 - Coverage and Conditions of Eligibility
- Section 2.6 - Financial Eligibility
- Attachment 2.6A Eligibility Conditions and Requirements
- Supplement 1 - Income Eligibility Levels
- Supplement 2 - Eligibility Resource Levels
- Supplement 3 - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid
- Supplement 4 - Methods for Treatment of Income That Differ From Those of the SSI Program
- Supplement 5 - Methodologies for Treatment of Income and Resources that Differ from SSI
- Supplement 6 - Standards for Optional State Supplementary Payments
- Supplement 7 - Categorically Needy Who Are Covered Under Requirements More Restrictive Than SSI
- Supplement 8 - Resource Standards for 1902(f) States - Categorically Needy
- Supplement 9 - Transfer of Resources
- Supplement 10 - Consideration of Medicaid Qualifying Trusts - Undue Hardship
- Supplement 11 - Methodologies for Treatment of Income and Resources That Differ From Those of the SSI Program
- Supplement 12 - Variations from the Basic Personal Needs Allowance
- Supplement 13 - Cost Effectiveness Methodology for COBRA Continuation Beneficiaries
- Supplement 16 - Asset Verification System
- Supplement 17 - Disqualification for Long-Term Care Assistance for Individuals with Substantial Home Equity
- Attachment 2.6B - Standards for Optional Supplementary Payments
- Attachment 2.6C - Eligibility Conditions and Requirements for the Medically Needy
- Attachment 2.6A Eligibility Conditions and Requirements
Section 2: MMDL and MACPro System Approvals
Eligibility
- Medicaid and CHIP Program (MACPro)
- Initial Eligibility Transition into MACPro
- Family Medical Application Revision
- Presumptive Eligibility Tool Revision
- 12 Mo. Continuous Postpartum Eligibility for Pregnant Women
- Former Foster Care Children - Sect. 1002(a) SUPPORT Act
- 12 Mo. Continuous Eligibility for Children Under Age 19
- Health Homes Admin - Asthma QMS Reporting Set
- Medically Needy PIL, 100% of SSI FBR
- Medicaid Modified Adjusted Gross Income (MAGI) Eligibility
- S10 - MAGI-Based Income Methodologies
- S14 - AFDC Income Standards
- S21 - Presumptive Eligibility by Hospitals
- S21 - Presumptive Eligibility by Hospitals (Supporting Documentation Training)
- S25 - Mandatory Coverage - Parents and Other Caretaker Relatives
- S28 - Mandatory Coverage - Pregnant Women
- S30 - Mandatory Coverage - Infants and Children Under Age 19
- S32 - Mandatory Coverage - Adult Group
- S33 - Mandatory Coverage - Former Foster Care Children
- S50 - Options for Coverage - Individuals Above 133 FPL
- S51 - Options for Coverage - Optional Coverage of Parents and Other Caretaker Relatives
- S52 - Options for Coverage - Reasonable Classification of individuals Under Age 21
- S53 - Options for Coverage - Children with Non IV-E Adoption Assistance
- S54 - Options for Coverage - Optional Targeted Low Income Children
- S55 - Options for Coverage - Individuals with Tuberculosis
- S57 - Options for Coverage - Independent Foster Care Adolescents
- S59 - Options for Coverage - Individuals Eligible for Family Planning Services
- S88 - Non-Financial Eligibility State Residency
- S89 - Non-Financial Eligibility Citizenship and Non-citizen Eligibility
- S94 - General Eligibility Requirements - Eligibility Process
- S94 - General Eligibility Requirements - Eligibility Process (Supporting Documentation Streamlined Application)
Section 3: Services - General Populations
- Section 3 - Service Provisions
- Attachment 3.1A Amount Duration and Scope of Services for Categorically Needy - SPA Updated 01/2026
- Attachment 3.1B - Amount, Duration and Scope of Services Provided to Medically Needy Groups - SPA Updated 01/2026
- Supplement - Medication-Assisted Treatment - SPA Updated 01/2026
- Attachment 3.1D - Methods of Providing Transportation
- Attachment 3.1E - Standards for Coverage of Organ Transplants
- Attachment 3.1F - Managed Care - SPA Updated 01/2025
- Attachment 3.1G - Alternative Benefits
- Attachment 3.1M - Carceral Youth
- Section 3.2 - Coordination of Medicaid with Medicare and Other Insurance
Section 3: MMDL System Approvals
Alternative Benefit Plan (ABP)
- Supports and Training for Employing People Successfully (STEPS)
- ABP1 - STEPS Alternative Benefit Plan Populations
- ABP2b - STEPS Voluntary Enrollment Assurances for Eligibility Groups Other Than the Adult Group Under Section 1902
- ABP3.1 - STEPS Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package
- ABP4 - STEPS Alternative Benefit Plan Cost-Sharing
- ABP5 - STEPS Benefits Description_SPA Update 012025
- ABP7 STEPS - Benefits Assurances
- ABP8 - STEPS Service Delivery Systems
- ABP9 - STEPS Employer Sponsored Insurance and Payment Premiums
- ABP10 - STEPS General Assurances
- ABP11 - STEPS Payment Methodology
- Working Healthy
- ABP1 - Working Healthy Alternative Benefit Plan Populations
- ABP2b - Working Healthy Voluntary Enrollment Assurances for Eligibility Groups Other Than the Adult Group
- ABP3 - Working Healthy Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package
- ABP4 - Working Healthy Alternative Benefit Plan Cost-Sharing
- ABP5 Working Healthy - Benefits Description_SPA Updated 012025
- ABP7 - Working Healthy Benefits Assurances
- ABP8 - Working Healthy Service Delivery Systems
- ABP9 - Working Healthy Employer Sponsored Insurance and Payment Premiums
- ABP10 - Working Healthy General Assurances
- ABP11 - Working Healthy Payment Methodology
Section 4: General Program Administration
- Section 4.1 - General Program Administration SPA Updated 012025
- Section 4.11 - Relations with Standards-Setting and Survey Agencies
- Section 4.14 Utilization Control
- Section 4.16 - Relations with State Health and Vocational Rehabilitation Agencies and Title V Grantees
- Attachment 4.16a - Cooperative Arrangements with State Health and State Vocational Rehabilitation Agencies with Title V Grantees.
- Attachment 4.16a - Cooperative Arrangements with State Health and State Vocational Rehabilitation Agencies with Title V Grantees.
- Section 4.17 - Liens and Adjustments or Recoveries
- Section 4.18 - Medicaid Premiums and Cost Sharing
- Section 4.19 - Payments for Services
- Attachment 4.19a - Inpatient Hospital Care - SPA Updated 01/2026
- Attachment 4.19b - Outpatient Hospital Care - SPA Updated 01/2026
- Attachment 4.19c - Method of Payment for Reserving Beds During a Recipients Absence from an Inpatient Facility
- Attachment 4.19d Part I - Payments for Skilled Nursing Facilities
- List of Contents
- Subpart A - Cost Reporting
- Subpart B - Audits
- Subpart C - Payment Rate Method - SPA Updated 01/2026
- Subpart D - Treatment Pass-Through for Special Level of Care Facilities
- Subpart E - Rates When Two or More NFs Merge Under One License
- Subpart F - Reserved
- Subpart G - Nursing Facility Quality Enhance
- Subpart H - Kansas Intergovernmental Transfer Program
- Subpart I - Rate for Ventilator Dependent Resident
- Subpart J - Minimum Wage Pass-Through
- Subpart K - Durable Medical Equipment (DME) Pass-Through
- Subpart L - Disaster Relief Provision
- Subpart M - Reserved
- Subpart N - Reserved
- Subpart O - Reserved
- Subpart P - Reserved
- Subpart Q - Reserved
- Subpart R - Appeal Procedures
- Subpart S - Medicaid Add-On
- Subpart T - Public Process
- Subpart U - Quality Care Assessment Pass-Through
- Attachment 4.19d Part II - Payments for Intermediate Care Facilities
- List of Contents
- Subpart A - Definitions
- Subpart B - Change of Provider
- Subpart C - Provider Agreement
- Subpart D - Inadequate Care
- Subpart E - Standards for Participation
- Subpart F - Admission Procedure
- Subpart G - Certification
- Subpart H - Inspection of Care and Utilization Review
- Subpart I - Personal Needs Fund
- Subpart J - Prospective Reimbursement
- Subpart K - Reimbursement
- Subpart L - Financial Data
- Subpart M - Extra Care
- Subpart N - Cost Reports
- Subpart O - Rates of Reimbursement
- Subpart P - Rates Effective Date
- Subpart Q - Payment of Claims
- Subpart R - Reserve Days
- Subpart S - Non-Reimbursable Costs
- Subpart T - Costs Allowed With Limitations
- Subpart U - Revenues
- Subpart V - Compensation
- Subpart W - Ownership Reimbursement Fee
- Subpart X - Interest Expense
- Subpart Y - Central Office Cost
- Subpart Z - Client Days
- Subpart AA - Reserved
- Subpart BB - Appeal Procedures
- Subpart CC - Public Process
- Attachment 4.19e - Definition of Claims
- Section 4.22 - Third Party Liability
- Section 4.24 - Standards for Payments for Skilling Nursing and Intermediate Care Facility Services
- Attachment 4.24 Part I
- Part I - List of Contents
- Exhibit A-1 - Nursing Facilities
- Exhibit A-2 - Provider Agreement
- Exhibit A-3 - Inadequate Care
- Exhibit A-4 - Private Pay Wings
- Exhibit A-5 - Standards for Participation
- Exhibit A-6 - Admission Procedure
- Exhibit A-7 - Screening Evaluation and Referral
- Exhibit A-8 - Personal Needs Funds
- Attachment 4.24 Part II
- Attachment 4.24 Part I
- Section 4.30 - Exclusion of Providers and Suspension of Practitioners and Other Individuals
- Section 4.32 - Income and Eligibility Verification System
- Section 4.33 - Medicaid Eligibility Cards for Homeless Individuals
- Section 4.34 - Systematic Alien Verification for Entitlements
- Section 4.35 - Enforcement of Compliance for Nursing Homes
- Attachment 4.35a - Eligibility Conditions and Requirements
- Attachment 4.35b - Termination of Provider Agreement
- Attachment 4.35c - Temporary Management
- Attachment 4.35d - Denial of Payment for New Admissions
- Attachment 4.35e - Civil Money Penalty
- Attachment 4.35f - State Monitoring
- Attachment 4.35g - Transfer of Residents
- Attachment 4.35h - Additional Remedies
- Section 4.38 - Nurse Aide Training and Competency Evaluation for Nursing Facilities
- Section 4.39 - Pre-admission Screening and Annual Resident Review in Nursing Facilities
- Section 4.40
- Attachment 4.40a - Survey and Certification Education Process
- Attachment 4.40b - Process for Investigation of Allegations of Resident Neglect
- Attachment 4.40c - Procedures for Scheduling and Conduct of Standard Surveys
- Attachment 4.40d - Programs to Measure and Reduce Inconsistency
- Attachment 4.40e - Process for Investigations of Complaints and Monitoring
- Section 4.42 - Employee Education About False Claim Recoveries
Section 5: Personnel Administration
Section 6: Financial Administration
Section 7: General Provisions
- Section 7.1 - Plan Amendments
- Section 7.2 - Non-Discrimination
- Section 7.3 - Maintenance of AFDC Effort