Kansas’s IDD system is structured around Community Developmental Disability Organizations (CDDOs), which serve as the local coordination and eligibility determination entities for IDD services. For IDD agencies providing direct services in Kansas, understanding the relationship between CDDOs, the Kansas Department for Aging and Disability Services (KDADS), and the KanCare managed care program is fundamental to billing compliance.
Kansas’s IDD System: KDADS, CDDOs, and KanCare
KDADS administers the state’s IDD service system, including the Medicaid waiver programs that fund most IDD services in Kansas. CDDOs operate in each region of the state and are responsible for determining eligibility, developing individual service plans, and coordinating service delivery for individuals with IDD. IDD service providers typically have referral and coordination relationships with their regional CDDO in addition to their KanCare billing relationships.
KanCare, Kansas’s Medicaid managed care program, processes most IDD waiver claims through its three managed care organizations. Agencies must understand which MCO manages services for each individual they serve, as billing and prior authorization processes vary between MCOs. KDADS publishes provider guidance through its IDD services provider resources page.
KanCare Claims and Provider Portals
Kansas IDD agencies submit Medicaid claims through the KanCare MCO provider portals. Each of the three KanCare MCOs, Sunflower Health Plan, Aetna Better Health, and United Healthcare Community Plan, has its own provider portal and claim submission processes. Agencies billing across multiple MCOs must maintain proficiency with each portal.
Kansas EVV Requirements
Kansas has implemented EVV for personal care and home health services under KanCare. Each KanCare MCO has specific requirements for how EVV is implemented for its members. Agencies should verify current EVV requirements with each MCO and ensure their EVV system meets the applicable technical specifications.
Vertex EVV Manager supports Kansas EVV requirements. Explore Vertex’s Kansas-specific billing support.
HCBS Waiver Services and Documentation in Kansas
Kansas IDD waiver services require documentation that demonstrates the connection between delivered services and the individual’s person-centered service plan developed in collaboration with the CDDO. Vertex Case Manager maintains the documentation needed to support both KanCare billing accuracy and KDADS compliance oversight.
