Kansas Administrative Regulations Agency 129 - KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT-DIVISION OF HEALTH CARE FINANCE

Here’s a more structured overview of Agency 129 (Kansas Department of Health and Environment – Division of Health Care Finance) and its Administrative Regulations:

📘 Scope & Structure

Agency 129 outlines the regulations governing Kansas Medicaid and related health-care initiatives. Key sections include:

Article 1 – Definitions (K.A.R. 129‑1‑1): Covers essential terms like “beneficiary,” “medical necessity,” “MCO,” etc., with the latest amendment effective December 27, 2024 (law.cornell.edu).

Article 2 – General Provisions (K.A.R. 129‑2‑1 & 129‑2‑2) .

Article 5 – Provider Participation & Reimbursements (K.A.R. 129‑5‑1 to 129‑5‑118b), includes nursing facility reimbursement frameworks, fee schedules, provider requirements (law.cornell.edu).

Article 6 – Client Eligibility (K.A.R. 129‑6‑30 to 129‑6‑153), detailing eligibility criteria across medical assistance, KanCare, CHIP (law.cornell.edu).

Articles 7–9 – Grievances, Appeals & Hearings, for both fee-for-service and managed care members (law.cornell.edu).

Article 10 – Adult Care Home Program (K.A.R. 129‑10‑15a to 129‑10‑210) (law.cornell.edu).

Article 14 – Children’s Health Insurance Program (K.A.R. 129‑14‑2 to 129‑14‑52) (law.cornell.edu).

🔄 Recent & Proposed Amendments

K.A.R. 129‑6‑88 (Working Healthy premiums): As of September 26, 2022, premiums are now charged only if income is between 226–300% FPL, rather than at 100%+ FPL. Approved December 1, 2022, and formalized March 1, 2023 (klrd.gov).

K.A.R. 129‑6‑35 (Application for deceased applicants): Amended July 6, 2022, clarifying who (e.g., parent, spouse, executor) may apply post-mortem, to align with federal rules (42 C.F.R. 435.907/435.923) (kslegresearch.org).

📄 Access & Research Tools

KDHE hosts PDFs for each Article (economic impact, notices, amendments) under the “Kansas Administrative Regulations” section of its Medicaid site (kdhe.ks.gov).

Cornell’s Legal Information Institute provides a navigable breakdown of Agency 129's Articles and sections (law.cornell.edu).

The Kansas Secretary of State website includes official KAR documents and notices (sos.ks.gov).

✅ Summary Table

Component

Description

Definitions (Art 1)

Terms, definitions; last amended Dec 27, 2024

General (Art 2)

Introductory provisions governing scope

Providers (Art 5)

Medicaid provider rules, reimbursement

Eligibility (Art 6)

Criteria for Medicaid, KanCare, CHIP

Appeals & Hearings (7–9)

Processes for grievances, fair hearings

Adult Care Homes (Art 10)

Rules governing care home program

CHIP (Art 14)

Kansas children’s health insurance

🧭 How You Can Access Agency 129

KDHE Website – Under Medicaid / Health Care Finance → Kansas Administrative Regulations.

Kansas Secretary of State – Search publications by “KAR 129”.

Legal Databases – Tools like Cornell LII list all Articles with cross-references.

 

LEAVE A COMMENT

0 comments