State Institutional Alternative (SIA)

KDADS worked in cooperation with the Mental Health Task Force, the Governor’s Behavioral Health Planning Council, Community Mental Health Centers (CMHCs) and other stakeholders to develop a plan to lift the moratorium on voluntary admissions. The plan has two primary goals. The first is to ensure there are high-quality, therapeutic spaces to provide treatment to individuals with serious mental illness in an inpatient setting. The second is to use existing resources and facilities as effectively as possible to meet the therapeutic needs while incorporating appropriate community-based services and private facilities.

The plan to lift the moratorium included a mix of bed capacity at Osawatomie State Hospital (OSH) and increasing community- based capacity for inpatient treatment. The approved FY 2021 Budget for KDADS includes funds to expand the number of regional psychiatric hospital beds to serve individuals with mental illness meeting the criteria for state hospital admission.

KDADS contracts with providers to provide hospital bed space for adults and children. These “regional” beds would be financed using a combination of state dollars, Medicaid or other private insurance when patients have insurance coverage available. During 2020, KDADS worked with the Kansas Department of Health and Environment (KDHE) on a new provider classification, called State Institutional Alternative (SIA). These are private psychiatric hospitals or community hospitals that agree to accept patients with mental illness who have been screened for admission to a state hospital. These SIA hospitals are paid a per diem rate for each patient day instead of the regular Medicaid rate. SIAs submit an application to the state to be able to enroll in Medicaid and be reimbursed on a per diem rate for any patients successfully screened for State Mental Health Hospital (SMHH) admission and receive state funds for the care of the uninsured.

  • SIAs will provide regional hospital alternatives to Larned State Hospital (LSH) and OSH, allowing for care closer to home for patients and reducing demand on SMHHs, as well as reducing wait times for admissions.
  • SIA is the only program that serves youth population approved for the state hospital level of care
  • When Kansans in crisis are triaged and recommended for the state hospital admission, SIA hospitals will be the first option for new patient admissions.
  • SIAs define patient population they are able to serve
  • The program is designed around the daily capacity and capably of each of the SIAs on a daily basis.

KDADS implemented the SIA Medicaid policy and State Plan Amendment in 2020 and has worked with existing hospitals that accepted diversion placements from the state hospitals to enroll as SIA providers. SIA hospitals will replace the existing diversion beds that currently supplement the OSH capacity to meet immediate needs with the same focus on short in-patient stays, initiating treatment and smoothly transitioning patients into community-based treatment.

Bed Availability

The HealthSource Integrated Solutions bed dashboard can be used to check availability of beds at SIAs and state hospitals. Type "SIA" or the hospital name in the search field to see most current information*:

SIAs and state hospitals update bed availability information at least two times a day.

KDADS is looking forward to other Private Psychiatric Hospitals regularly sharing data on bed availability across the state.

*Bed availability can change minute by minute. Please call the facility to confirm bed availability and appropriateness of admission

Revised Mental Health Screen Forms and Accompanying Forms

FileTypeSizeUploaded onDownload
Adult Community Mental Health Center Screening FormPDF905.80 KB28 Nov, 2022 Download
Youth Community Mental Health Center Screening FormPDF818.50 KB27 Sep, 2022 Download
Instructions for 2022 MH Screening FormDOCX39.36 KB09 Feb, 2022 Download
Involuntary Screen - Typable 9 QMHP LetterPDF353.80 KB24 Sep, 2021 Download
Involuntary Screen - Typable 10 Emergency ApplicationPDF363.74 KB24 Sep, 2021 Download
Involuntary Screen - Typable 8 OSH Ticket LetterPDF283.52 KB24 Sep, 2021 Download

General Documents and Forms

FileTypeSizeUploaded onDownload
Discharge ResourcesXLSX155.73 KB04 Mar, 2024 Download
Step-by-Step KMAP Enrollment Guide - SIAPDF1.98 MB19 Dec, 2023 Download
Medical Clearance List March 2023DOCX15.68 KB11 Apr, 2023 Download
Application for Voluntary Admission SpanishDOCX37.28 KB28 Feb, 2023 Download
Application for SIA AuthorizationDOCX27.47 KB19 Dec, 2022 Download
Application for Voluntary AdmissionDOCX36.80 KB25 Oct, 2022 Download
Youth Admission Through DischargePDF83.10 KB23 Sep, 2022 Download
Adult Admission Through DischargePDF97.17 KB23 Sep, 2022 Download
SIA Billing and Reimbursement FlowchartPDF207.28 KB20 Jun, 2022 Download
Administrative Transfer - SIA to State HospitalsPDF229.10 KB28 Feb, 2022 Download
SIA BrochurePDF1.13 MB24 Sep, 2021 Download
Provider Enrollment Guide KanCarePDF235.03 KB24 Sep, 2021 Download
SIA Phased Program LaunchPDF138.38 KB24 Sep, 2021 Download
SIA Enrollment Process FlowchartPDF69.09 KB24 Sep, 2021 Download

Approved SIA Hospitals

Location Population Served
 Anew Anew Health
 Cottonwood Springs Logo Cottonwood Springs
Olathe   Yes
 Camber Logo KVC Hospitals dba Camber Children's Mental Health - Kansas City & Wichita
Kansas City, Wichita, Hays
Youth Yes
 NMC Health Logo Newton Medical Center (NMC)
Newton Geriatric Yes
 Prairie View Logo Prairie View, Inc.
Newton Adult No
  South Central Kansas Medical Center
Arkansas Adult Geriatric
 Ascension Logo Via Christi
Wichita Youth & Adult
  Mitchel County Medical Center
Beloit Adult Geriatric
  Anew Health
Shawnee Adult Geriatric
Hutchinson Medical Center
 Hutchinson Medical Center Hutchinson

Quarterly & Cumulative SIA Reports

FileTypeSizeUploaded onDownload
SIA Report FY 2023XLSX142.38 KB26 May, 2023 Download
SIA Report Q1 FY 2023XLSX184.97 KB06 Oct, 2022 Download
Cumulative SIA ReportXLSX185.99 KB26 Jul, 2022 Download

Commissioner Reports