Applications for Families
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Introduction Introduction The purpose of this section of the website is to assist families interested in obtaining autism waiver services for their child. Children will be able to enter the waiver program from the age of diagnosis until their sixth birthday. Services are provided to children diagnosed with:
The autism waiver services is limited to three years, however, an additional year may be submitted for approval. An additional year of service is available in some cases based upon a review process. Requirements for this one year extension of services beyond three years include the following:
Instructions for Parents/Guardian To apply for services click on this link and follow the directions: http://www.srskansas.org/hcp/css/Autism/Autism_Preliminary_Application.pdf Selection Process for Autism Services Step 1 Section 1 requests basic information about your child and family. Personal information will be protected according to HIPPA guidelines. Please provide your child’s name, date of birth, social security number (or SSN), your name as the parent or guardian, your address, a phone number by which you can be reached, and if applicable a Medicaid Identification Number. Step 2 Section 2 includes two components. The first part requires you to indicate with a check mark which Autism screening tool was used in your child’s diagnosis. Please check all that apply and if the screening tool is not listed, please specify which tool was used. The second part is a check list of needed items to accompany this application. Please check next to “Documentation of Autism diagnosis is attached” if you have enclosed diagnosis documentation. Put a check mark by the “Signature of licensed Medical Doctor or Ph.D. Psychologists” if a Medical Doctor or Ph.D. Psychologist has read, signed and dated the statement provided at the bottom of section 2. Step 3 The fully completed application can be submitted three ways. Docking State Office Building If a child meets the criteria for the HCBS Autism Waiver, the child will receive a letter from the Autism Program Manager informing them they have been placed on the Proposed Waiver Recipient List and their numerical position on the list. When a position on the waiver becomes available the Program Manager will contact the family to offer them the potential position. Once a child has been referred by the Program Manager for assessment, the Functional Eligibility Specialist has 5 working days to schedule a home visit and complete the functional eligibility assessment to determine if the child meets the established criteria. If the child meets the criteria, the Functional Eligibility Specialist will assist the family in completing the Medicaid application (if they do not have a Medicaid card) and refer to an Autism Specialist. The Autism Specialist has 5 working days to contact the family to begin the development of the Individualized Behavioral Plan/Plan of Care. What Happens Next? Once a child has been referred by the Program Manager for assessment, the Functional Eligibility Specialist has 5 working days to schedule a home visit and complete the functional eligibility assessment to determine if the child meets the established criteria. If the child meets the criteria, the Functional Eligibility Specialist will assist the family in completing the Medicaid application (if they do not have a Medicaid card) and refer to an Autism Specialist. The Autism Specialist has 5 working days to contact the family to begin the development of the Key Contacts for the Autism Waiver Learn more about the Kansas Governor’s Commission on Autism |
