1411.3 - An individual in need or by another person able to act in the individual's behalf

An individual in need or by another person able to act in the individual's behalf may submit an application for assistance. See 2110 . If the applicant or his representative signs by mark, the names and addresses of two witnesses are required. Obtaining the signatures of all persons in the family group who are requesting assistance and able to act in their own behalf per 2110 is encouraged but cannot be required.

Filing on Behalf of a Deceased Person - An application shall be made on behalf of a deceased person in the month of death or within the three following months by the following individuals: A parent of the decedent where the decedent is a minor. The surviving spouse of the decedent. An adult child of the decedent An adult in the decedent’s tax household; or An executor or administrator (including temporary) of the decedent’s estate.

Filing for Institutionalized Individuals (Not applicable to the MediKan Reintegration Program) - When possible, all necessary information and signed forms will be obtained by institutional personnel. Parents, spouses, guardians/conservators and others who may apply on behalf of the individual per 2110 must always be given the opportunity to apply on behalf of an institutionalized person not able to act in his own behalf. If institutional personnel are unable to obtain an application from the patient or any of the above individuals, the administrator of a licensed facility may apply on behalf of the patient. For minor children, if the length of stay will not exceed 30 days, hospital staff are not allowed to complete the application process. General hospitals are generally not regarded as a licensed facility for this purpose unless approved. However, KDHE policy may approve exceptions on a case-by-case basis. Complete applications will be forwarded to the Clearinghouse for processing. All information pertinent to eligibility and known by institutional staff will be communicated to the Clearinghouse. When the institution acts as an employer to the patient, institutional personnel will be responsible for reporting all earnings to the Clearinghouse.

Filing for Individuals Requesting Tuberculosis Coverage - For persons KDHE determines to be in need of treatment for TB (per 2692 ) who are not eligible for regular medical coverage, the Certification of Need for TB Treatment (ES-3100.3) is normally used for application. The form must include an authorization for care from KDHE as well as an effective date for care.

Filing for Individuals Qualifying for the MediKan Reintegration Program - Discharged staff have the responsibility for initiating a discharge plan for persons being discharged from Medicaid approved psychiatric hospitals, the Larned State Security Program, and the Larned Correctional Mental Health Facility (Central Unit). For MediKan Reintegration program purposes, an approved discharge or release plan shall include: one copy of the ES-3903 , Presumptive Medical Disability Questionnaire, one copy of the ES-3904 , and a completed and signed application form or a referral to the Clearinghouse. All documents are located on the KDHE Eligibility Policy website. In addition, the plan will also include the anticipated date of discharge, documentation that the individual has been referred to Social Security to make application for SSI or SSDI benefits, the individual's address and living arrangement following discharge, and an ongoing treatment plan. The assigned worker shall have at least five working days advance notice to carry out the eligibility functions. Upon receipt of the approved discharge plan, the worker will need to ascertain the current eligibility status of the individual.

Filing for Individuals Being Released from State Correctional Institutions - Discharge staff at the 9 State Correctional Facilities may begin the application process for potentially eligible inmates a maximum of 90 days prior to their release. The correctional facilities are El Dorado (Central, North, and Toronto Unit), Ellsworth, Hutchinson (Central, East, and South Units), Lansing (Central and East Units), Larned (Central and West Units), Norton, Topeka, Wichita Work Release Facility, and Winfield. In such instances, the inmate can sign the application as of the date of completion and the application can be filed with the Clearinghouse where the facility is located. The application must be part of the approved discharge plan for the inmate. Designated Clearinghouse staff shall be responsible for coordinating submission and processing of these applications. Discharge planning staff at each correctional facility are responsible for initiating a release plan which incorporates a completed and signed application for benefits, if appropriate, as well as all supporting documentation for the application. If application is made for medical assistance benefits, the guidelines provided for MediKan Reintegration cases in item (4) above are applicable. This includes completion of the ES-3903 and completion of necessary forms and referrals as well as all medical records obtained by the facility regarding the person's disability. The application shall be registered in KEES at the time of receipt. However, the application is not valid until the release date. As such, the application registration date shall be changed to reflect the release date at the time of release and application processing time frames (including expedited benefits) will be based on that date. The agency shall make an eligibility determination and issue benefits within 30 days following the date of the applicant's release from the institution. If, for any reason, the agency is not notified on a timely basis of the applicant's release date, the agency shall determine benefits based on the date of release. Assistance shall be determined based on the living arrangement the person is residing in upon release. Assistance for the individual shall be prorated for the first month of assistance based on the date of application/discharge.

Filing for Individuals through the Health Insurance Marketplace – Individuals may apply for medical assistance through the Health Insurance Marketplace. The Marketplace application allows any adult member of the tax household to apply for any and all other members of the tax household. Should the agency receive an application via account transfer from the Marketplace, it shall be accepted and processed even if the individual filing the application does not meet the requirements of 2110 and subsections.