Autism Program

Photo of a child playing in a play place tunnelChildren with an appropriate diagnosis will be able to apply for the Autism Program until their sixth birthday. Services are provided to children diagnosed with:
  • Autism
  • Asperger’s Syndrome
  • Pervasive Developmental Disorder – Not Otherwise Specified

The Autism services are 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 the three-year initial limit include the following:

  • The child must meet eligibility based on the Level of Care assessment at the annual review on the third year of services, and
  • Data collected by the Autism Specialist must document continued improvement.
The Program will provide opportunities for children with Autism to receive intensive early intervention treatment and their primary caregivers to receive needed support through respite services. The program will greatly benefit children with Autism and their families.

Autism Renewal Information

The presentation for the Autism renewal is provided below. Additional information can also be located on the HCBS Program Renewal and Amendment Information page.

How To Apply

Please begin by downloading the Autism Application in English, o descargar la Aplicación autismo en español.
FileTypeSizeUploaded onDownload
Autism Application (English)PDF112.13 KB07 Aug, 2014 Download
AplicaciĆ³n Autismo (en EspaƱol)PDF147.68 KB07 Aug, 2014 Download

Instructions for Parents/Guardian

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:
1. Faxed to CSS, at 785-296-0256,
2. Hand delivered to your local KDADS office to be time/date stamped, or
3. Mailed to:

New England State Office Building
Attention: Home and Community Based Services
503 S Kansas Ave
Topeka, KS 66603

If a child meets the criteria for the HCBS Autism Program, the child will receive a letter from the Autism Program Manager informing them they have been placed on the Proposed Recipient List and their numerical position on the list. When a position on the Program becomes available the Program Manager will contact the family to offer them the potential position.

What Happens Next?

If a child meets the criteria for the HCBS Autism Program, the child will receive a letter from the Autism Program Manager informing them they have been placed on the Proposed Recipient List and their numerical position on the list. When a position on the Program 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.

Autism Program Manager Contact Information

To receive additional information about the HCBS Autism program please contact the Autism Program Manager, Sam Philbern. He can be reached in the following ways:

  •  Phone: (785) 296-6843
  • Fax: (785) 296-0256
  • Mail: Kansas Department for Aging and Disability Services
             New England Building
             503 S. Kansas Ave.
             Topeka, KS 66603-3404