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.
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