2646 Reintegration Program

Reintegration is a special MediKan coverage program that has been established to provide time-limited medical assistance to eligible adults being discharged from Medicaid approved psychiatric hospitals or released from the Larned Correctional Mental Health Facility Central Unit or from the Larned State Security Program. See Policy Directive, PD2019-04-01, Medikan Reintegration - Date of Discharge , for further guidance.

An approved discharge plan shall be established for each individual and must include: Submission to the PMDT one copy of the ES-3903, Presumptive Medical Disability Questionnaire ; and One copy of the ES-3904, HIPPA Compliant Authorization to Disclose Information to KDHE . All documents are located on the KDHE Eligibility Policy website.

Eligibility under this process shall be based on the patient's reported income, resources and other information contained on the completed application form, including the client's living arrangement following discharge. If the client is in need and is not obviously ineligible for some other program factor, eligibility shall be approved. To help facilitate the Reintegration discharge process, a resident may have medical assistance coverage administratively reinstated without an application if discharged within a previously established 12-month review period. A medical card shall be available to the client at the end of discharge.

If the person being discharged is returning to live with his or her spouse or is going directly into a nursing facility or other institutional setting (other than specialized living arrangements), there is no eligibility for MediKan coverage. Persons eligible for SSI, including those in a suspended status, but who have not received benefits at the time of release, are eligible for MediKan in the interim period prior to receipt of the initial or reinstated SSI benefits.

Because a complete eligibility determination has not been completed, assistance under the Reintegration program is limited to the month of discharge and the two following months. In most instances the full medical eligibility determination should be completed by the second month following the month of discharge. In rare situations, the time limitation can be extended for good cause (e.g., presumptive eligibility could continue as long as the client is cooperating in providing required information in order for the agency to make a final eligibility determination).

Coverage months under the Reintegration program do not count against the 12 month lifetime MediKan coverage period, see 2645 . Nor does Reintegration approval start the fixed coverage period for regular MediKan. As long as all eligibility requirements are met, there is no limit on the number of times Reintegration may be approved.