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Navigating In-Home Service Options: Resources Beyond Private Pay in Kansas

Libby Hastings • June 12, 2024

When it comes to finding the right in-home services for yourself or a loved one, navigating the myriad of options can be daunting. Fortunately, in Kansas, there are comprehensive resources available that extend beyond private pay companies, ensuring that individuals of all ages, abilities, and income levels can access the support they need. Here’s a closer look at some of these invaluable resources.


The Kansas Aging and Disability Resource Center (ADRC)


The Kansas Aging and Disability Resource Center (ADRC) serves as a one-stop shop for individuals seeking long-term service and support. Whether you are an older adult, a person with a disability, or a caregiver, the ADRC offers objective information and personalized counseling to help you make informed decisions about your care options.


Operated by the eleven Area Agencies on Aging (AAA) across the state, the ADRC provides:


  • Coverage Across Kansas: No matter where you live in Kansas, ADRC ensures you have access to a wide array of support options tailored to your individual preferences, strengths, and values.
  • Statewide Call Center: Reach out to knowledgeable staff for information, referrals, and assistance with community services via the statewide call center at 855-200-2372.
  • Functional Assessments: The ADRC conducts assessments to determine eligibility for Home and Community-Based Service (HCBS) programs and nursing facility placements.


Senior Care Act Program


The Kansas Legislature established the Senior Care Act program to support older Kansans who can live in the community with some assistance. This program is designed for residents aged 60 or older who have functional limitations in self-care and independent living. Services vary by county but typically include:


  • Attendant care
  • Respite care
  • Homemaker support
  • Chore services
  • Adult daycare


Participants contribute to the cost of services based on their ability to pay. The program is administered by the Kansas Department for Aging and Disability Services (KDADS) through the AAAs.


Older Americans Act (OAA) Programs


Enacted by Congress in 1965, the Older Americans Act (OAA) addresses the lack of social services for older adults in the community. The OAA offers:


  • Legal assistance
  • Caregiver support
  • In-home services
  • Transportation
  • Nutrition programs


These services are typically free or available on a contribution basis. Like the Senior Care Act, the OAA programs are administered by KDADS through the AAAs.


Medicare and Medicaid In-Home Services


If you are under a physician’s care and require home health care services, Medicare or Medicaid might cover these services for short-term needs, provided there is an established care plan. Coverage requires using a home health agency certified for Medicare and Medicaid services. Additional financial support may come from:


  • Private insurance
  • Medicare supplements
  • Long-term care insurance


Many home health agencies also offer private pay options for those needing additional or non-covered services.


Home and Community-Based Services (HCBS) Programs


For those needing more extensive support, the HCBS programs may be an option. To participate, you must:


  • Be approved for Medicaid (KanCare)
  • Meet the functional eligibility criteria


The initial assessment is carried out by the AAAs, such as the Jayhawk Area Agency on Aging for residents in Douglas County. HCBS programs are coordinated by Managed Care Organizations (MCOs) under KanCare, and care plans might include:


  • Adult Day Care
  • Personal Care Services
  • Personal Emergency Response
  • Home Telehealth
  • Medication Reminders
  • Enhanced Care Services, and more


The HCBS Frail Elderly (FE) Waiver is aimed at adults aged 65+ who meet the criteria for nursing home placement, are Medicaid eligible, and require assistance with activities of daily living.

Advocacy with KABC 101: Your Guide to Making an Impact

By Libby Hastings • February 10, 2025
The Kansas legislative session is in full swing, making it the perfect time to engage with your lawmakers and advocate for policies that improve long-term care in our state. Whether you're a seasoned advocate or just getting started, knowing how to effectively communicate with legislators is key to making a difference. We believe that every voice matters, and lawmakers want to hear from the people they represent. To find your legislator, visit the Kansas legislative website. When you visit www.kslegislature.org , there is an option on the left side of the website to “Find Your Legislator”. You may search by name, chamber, party, or select “Seach by Your Address”. This will lead you to Plural , a platform to find bill information and your local legislators by typing in your home address. Tips for Effective Advocacy Be Friendly – Legislators are people too! Approach them with sincerity and honesty. While time may be limited, be sure to focus on the issue you're there to champion. Be Prepared – This is your chance to educate. Start with a clear, concise explanation of the issue, and provide only factual information. Be Respectful – Not everyone will agree with your position. Some lawmakers may have concerns about costs, feasibility, or other factors. Treat them with respect, as they may be allies on future issues. Be Direct – Answer questions openly and honestly. Share the full picture, including both the challenges and the solutions. Ask for a Specific Action – Make it clear what you want your legislator to do. Common advocacy actions include: Sponsoring a bill Urging committee leadership to take action on a bill Speaking for or against a bill during debate Holding a public event to raise awareness Writing a letter to state agencies about oversight and implementation of a law Establish a Relationship – Don't just reach out when you need something. Contact your legislators regularly, thank them when they support your issues, and stay engaged. Building a relationship increases the likelihood they will listen when you advocate for change. Say Thanks – Gratitude goes a long way! Always follow up with a thank-you note or email after a meeting, even if the legislator disagrees with your position. Advocacy is about persistence, education, and relationship-building. By using these strategies, you can help ensure that long-term care remains a priority for Kansas lawmakers. Want to learn more? Check out KABC’s full Advocacy 101 guide here .

Advocacy in Action (February 2025): KABC Testifies Before House Social Services Budget Committee

By Libby Hastings • January 29, 2025
On Thursday, January 30th, Dan Goodman, Executive Director, presented testimony before the House Social Services Budget Committee. His remarks focused on essential recommendations for the Kansas Department of Aging & Disability Services (KDADS) budget, underscoring the urgent need for a Statewide Resource Guide for Older Kansans. Dan’s testimony emphasized Kansas’s rapidly aging population, with projections showing that more than 20% of Kansans will be 65 or older by 2030. With state resources already stretched thin, KABC urged the committee to prioritize investments in solutions that diversify and enhance access to long-term care services across Kansas. Highlighting the Statewide Resource Guide KABC’s flagship recommendation was a comprehensive Statewide Resource Guide for Older Kansans, modeled after the highly successful Douglas County Senior Resource Directory. The proposal seeks $190,000 to develop and distribute a directory that would serve as an essential tool for older Kansans and their families. The funding would cover: Initial Setup & Information Coordination: $85,000 One-Time Master Printing for Statewide Distribution (35,000 copies): $105,000 The guide would provide accurate, accessible, and up-to-date information on long-term care services and resources, with an online version that could be printed on demand. This initiative aligns with the Senior Care Legislative Task Force’s final recommendations and would empower Kansans to make informed decisions about care options. Dan emphasized the proven success of the Douglas County Senior Resource Directory, which KABC developed with grant funding through the Douglas County Community Foundation. Since its launch, the directory has been accessed online by over 700 individuals and distributed to hundreds of older adults, caregivers, and local businesses. Expanding this model statewide would ensure that every Kansan—regardless of where they live—has access to vital information when they need it most. Other Budget Priorities KABC Supports KABC also backed several of KDADS Governor’s budget recommendations, including funding increases for: HCBS Frail Elderly Waiver Growth HCBS Brain Injury Waiver Growth Nutrition Services Incentive Program Stay tuned for updates as we continue to advocate for these critical investments during the legislative session!
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