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Brain Injury (BI) Waiver Program

Photo of patient receiving an MRIThe Brain Injury (BI) waiver is a habilitative/rehabilitation and independent living program with an emphasis on the development of new independent living skills and/or re-learning of lost independent living skills due to an acquired or traumatic brain injury. Participants who have a medically diagnosed brain injury receive intensive therapies and services based on the goals of the participant, their providers and their Managed Care Organization (MCO). The participant's progress will be evaluated every six months until they are no longer in need of these services or they reach a plateau in their progress and are able to transition to another waiver for ongoing supports.

Brain injuries diagnosed as being a chromosomal or congenital condition do not qualify for the BI waiver. Individuals with a brain injury before the age of 21 years will also be referred to the Community Developmental Disability Organization (CDDO). CDDOs are required to assess all persons with developmental disabilities before the age of 21 years for the Intellectual/Developmental Disability (IDD) HCBS program.

Services

  • Assistive Services
  • Financial Management Services
  • Home-Delivered Meals
  • Medication Reminder Services
  • Personal Emergency Response System and Installation (PERS)
  • Personal Care Services (PCS)
  • Rehabilitation Therapies: Behavior Therapy, Cognitive Rehabilitation, Physical Therapy,Speech-Language Therapy, and Occupational Therapy
  • Enhanced Care Services (ECS)
  • Transitional Living Skills (TLS)

Eligibility

To be eligible for the BI waiver, an individual must meet the following criteria:
  1. Be 16 up to 65 years of age (ages 0 to 16 to be added momentarily);
  2. Be a resident of the state of Kansas;
  3. Be determined disabled or have a pending determination by the Social Security Administration;
  4. Be financially eligible for Medicaid;
  5. Have a documented medical diagnosis of a traumatic brain injury or acquire brain injury, signed off by an acceptable medical provider. Brain injuries due to chromosomal or congenital diagnosis do not qualify for the BI waiver. To qualify under a BI diagnosis the participant must meet the criteria for placement in a Traumatic Brain Injury Rehabilitation Facility. To qualify under a BI diagnosis for ages four years and older, the participant must meet level of care required for hospital placement. For ages 0 to 3 years, the participant must have documentation from a physician indicating the BI diagnosis;
  6. Have active habilitation/rehabilitation need for BI therapies;
  7. Participants between the ages of 4-65 years must meet the level of care criteria based on the state approved Medicaid Functional Eligibility Instrument (MFEI) completed by the ADRC.

Enrollment

To apply for the BI waiver, contact your local Aging and Disability Resource Center. The ADRC will conduct a BI Medicaid Functional Eligibility instrument assessment to determine functional eligibility for the BI waiver. If functionally eligible, KanCare Clearinghouse will determine if the participant meets the disability and financial eligibility guidelines.

Frequently Asked Questions

  • What is the difference between an acquired and traumatic brain injury?

  • What does supporting BI documentation mean?

  • Is there a time limit on the BI program?

  • Who do I call to get information when I need help?

  • What is self-direction?

Additional Information

For additional information or assistance you may follow the provided link to contact the KanCare Ombudsman.

Renewal Information

Find waiver status, renewal, and public comment information here:

Contact Information

BI Waiver Program Manager:
Susan Segelquist

Phone:
785-296-4983

Email:
susan.segelquist2@ks.gov

Fax:
785-296-0256

Mail:
Kansas Department for Aging and Disability Services
Attention: Home and Community Based Services
503 S. Kansas Ave.
Topeka, KS 66603-3404