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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. If a brain injury is obtained prior to the age of 22, the individual may be considered developmentally disabled and may be referred to the Community Developmental Disability Organizations (CDDOs) prior to BI screening. CDDOs are required to assess all persons with developmental disabilities for the I/DD Program.


  • 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)


To be eligible for the BI waiver, an individual must meet the following criteria:

  1. Be from the age of 0 up to and including 64 years of age;
  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 diagnoses do not qualify for the BI waiver. To be eligible 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 the level of care required for hospital placement. For ages 0 to 3 years, the participant must submit current brain injury diagnostic and treatment recommendations from the treating physician;
  6. Have active habilitation/rehabilitation need for BI therapies;
  7. Participants between the ages of 4 through 64 years must meet the level of care criteria based on the state-approved Medicaid Functional Eligibility Instrument (MFEI) completed by the ADRC.


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.


HCBS BI Attestation Form

The KDADS ADCSP HCBS BI Attestation Form may be completed by a qualified medical professional and submitted to the ADRC in place of medical records containing your brain injury diagnostic information.

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

KDADS is seeking feedback from HCBS Stakeholders for the renewal of the Brain Injury (BI) Waiver.  KDADS will host virtual meetings to share information and accept public comment. These meetings are an opportunity for you to learn about any planned changes to the BI Waiver and share feedback on what you think is going well and what could be improved. The renewal and documents including the following information can be found at  Please register for the times you plan to attend.  We look forward to hearing from you!    

March 13th 2024 1p-3p

March 13th 2024 6p-8p

March 14th 2024 11a-1p

Contact Information

BI Waiver Program Manager:
Susan Segelquist


[email protected]


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

Seeking TBI Advisory Board Members