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SHPBN-2019-017 Technology Assistance Waiver Amendment

Date: 03/26/19

The Centers for Medicare & Medicaid Services (CMS) recently approved an amendment to the state of Kansas Technology Assistance waiver. This amendment adds a benefit limit to Specialized Medical Care (T1000) services. The benefit limit is now an average of 12 hours per day and a total of 1,488 units per month. One unit equals 15 minutes.

Based upon this change, Sunflower will conduct a case review of each member receiving TA waiver Specialized Medical Care in an amount that exceeds the benefit limit of 1,488 units per month. This review will align our authorized service levels with the new waiver benefit limit. When conducting the reviews we will take into consideration the member’s assessed needs, the available supports within the home, and whether the member is in foster care.

Any member whose services change due to the new benefit limit will receive a notice regarding this change. The assigned provider will also receive a copy of this notice.

For any questions regarding this bulletin, please contact Customer Service at 877-644-4623 or your Sunflower HCBS provider representative: