If you or your family need affordable health coverage in Kansas, Medicaid could be the answer. Kansas delivers its Medicaid program through KanCare, a managed care system that provides comprehensive medical benefits to eligible residents. Applying is free, and you can do it online, by phone, by mail, or in person. This guide walks you through everything you need to know, from checking your eligibility to submitting a successful application.
Not sure if Medicaid is right for you? Use our free benefits screener to find out which programs you may qualify for in just a few minutes.
For a broader look at all available assistance programs, visit the Kansas Benefits Overview.
Understanding KanCare: Kansas Medicaid
KanCare is the name for Kansas's Medicaid program. It is administered by the Kansas Department of Health and Environment (KDHE) and the Kansas Department for Children and Families (DCF). KanCare provides health coverage including doctor visits, hospital stays, prescription drugs, mental health services, and more.
Important note: Kansas has not expanded Medicaid under the Affordable Care Act. This means eligibility for adults is more limited than in states that have expanded. Most adults without dependent children do not qualify for KanCare regardless of income. However, several groups of Kansans are still eligible, and children have broader income thresholds through the Children's Health Insurance Program (CHIP).
Who Is Eligible for KanCare?
Because Kansas has not expanded Medicaid, eligibility is limited to specific categories. You may qualify if you are:
- A parent or caretaker of a dependent child with very low income
- Pregnant or recently postpartum
- A child under 19 in a low-income household
- Age 65 or older with limited income and resources
- Disabled and receiving or eligible for SSI
- A former foster youth under age 26
Kansas Medicaid Income Limits
Income limits vary depending on your category and household size. The table below shows approximate monthly income limits based on federal poverty level (FPL) guidelines. These figures are based on the most recent available thresholds. Always verify current amounts with the KanCare Clearinghouse, as limits are updated periodically.
| Category | FPL Percentage | Monthly Limit (Family of 2) | Monthly Limit (Family of 4) |
|---|---|---|---|
| Parents/Caretakers | 38% FPL | Approximately $669 | Approximately $793 |
| Pregnant Women | 171% FPL | Approximately $3,014 | Approximately $3,573 |
| Children Under 1 | 171% FPL | Approximately $3,014 | Approximately $3,573 |
| Children Ages 1 to 5 | 154% FPL | Approximately $2,715 | Approximately $3,219 |
| Children Ages 6 to 18 | 138% FPL | Approximately $2,432 | Approximately $2,884 |
| CHIP (Children to 19) | 255% FPL | Approximately $4,495 | Approximately $5,329 |
No asset test applies for most MAGI-based Medicaid categories (parents, children, pregnant women). Elderly and disabled applicants may face asset limits.
The Coverage Gap
Because Kansas has not expanded Medicaid, there is a "coverage gap" that affects approximately 39,000 residents. These are adults who earn too little to qualify for Marketplace subsidies (which start at 100% FPL) but do not fit into a traditional Medicaid category. If you fall into this gap, check our screener to see if other assistance programs can help.
Step-by-Step: How to Apply for KanCare
Step 1: Gather Your Documents
Before starting your application, collect the following for each household member:
- Social Security numbers
- Proof of identity (driver's license, state ID, or birth certificate)
- Proof of income (pay stubs, tax returns, W-2s, or a letter from your employer)
- Proof of Kansas residency (utility bill, lease agreement, or bank statement)
- Information about current health insurance (if any)
- Proof of citizenship or eligible immigration status
- Pregnancy verification (if applicable)
Step 2: Choose Your Application Method
Kansas offers four ways to apply:
Online (Recommended) Apply through the Kansas DCF Self-Service Portal at cssp.kees.ks.gov. This is the fastest method. You can create an account, fill out the application, upload documents, and track your application status all in one place.
By Phone Call the KanCare Clearinghouse at 1-800-792-4884. Representatives can help you complete an application over the phone. Hours are Monday through Friday.
By Mail Download a paper application from the KanCare website or request one by calling the Clearinghouse. Mail the completed application to:
KanCare Clearinghouse PO Box 3599 Topeka, KS 66601-3599
In Person Visit your local DCF office. You can find the nearest office at dcf.ks.gov. Staff can help you complete and submit your application on the spot.
Through HealthCare.gov You can also apply through the federal Health Insurance Marketplace at HealthCare.gov. If you appear to qualify for Medicaid, your information will be forwarded to KanCare automatically.
Step 3: Complete the Application
The application will ask about:
- Household members and their relationships
- Income from all sources (wages, self-employment, Social Security, child support, etc.)
- Monthly expenses such as rent, utilities, and childcare
- Current health coverage
- Disability or medical conditions
- Pregnancy status
Be thorough and honest. Incomplete applications may be delayed or denied.
Step 4: Submit Supporting Documents
Upload or mail copies of your documents. Do not send originals. If applying online, the portal allows you to upload photos or scans of your documents directly.
Step 5: Wait for a Decision
Kansas must process your application within 45 days (or 90 days if you are applying based on a disability). You will receive a notice by mail with the decision. If approved, your coverage may be effective as early as the date of your application.
Step 6: Choose a Health Plan
Once approved for KanCare, you will need to select one of the three managed care organizations (MCOs) that deliver KanCare benefits:
- Aetna Better Health of Kansas
- Sunflower Health Plan
- United Healthcare Community Plan
If you do not choose a plan, one will be assigned to you. You can switch plans during the first 90 days of enrollment or during annual open enrollment.
Tips for a Successful Application
- Apply as soon as possible. Coverage can be backdated to the date of application, so do not delay.
- Double-check your information. Errors in Social Security numbers, income, or household size can cause delays.
- Respond to requests promptly. If KanCare asks for additional documents, submit them before the deadline.
- Keep copies of everything. Save copies of your application and all documents you submit.
- Ask for help if needed. Community organizations, hospitals, and local DCF offices often have staff who can assist with applications at no cost.
What KanCare Covers
KanCare provides a comprehensive set of benefits, including:
- Doctor and specialist visits
- Hospital inpatient and outpatient services
- Prescription medications
- Mental health and substance abuse treatment
- Preventive care and screenings
- Lab tests and X-rays
- Maternity and newborn care
- Dental care (limited for adults, comprehensive for children)
- Vision care for children
- Home and community-based services for eligible individuals
- Transportation to medical appointments
What to Do if You Are Denied
If your KanCare application is denied, you have the right to appeal. Your denial notice will include instructions for requesting a fair hearing. Key points:
- You generally have 30 days from the date of the denial notice to file an appeal.
- You can request a fair hearing by calling the KanCare Clearinghouse at 1-800-792-4884 or submitting a written request.
- Consider gathering additional documentation that supports your eligibility.
- Free legal help may be available through Kansas Legal Services at 1-800-723-6953.
Renewing Your KanCare Coverage
KanCare coverage must be renewed annually. The KanCare Clearinghouse will send you a renewal packet before your coverage is set to expire. To avoid a gap in coverage:
- Keep your contact information up to date with KanCare.
- Respond to renewal notices promptly.
- Report any changes in income, household size, or address as they happen.
- You can renew online through the DCF Self-Service Portal.
Frequently Asked Questions
How long does it take to get approved for KanCare?
Kansas processes most applications within 45 days. Applications based on disability may take up to 90 days. You will receive a decision by mail.
Can I apply for KanCare if I am undocumented?
Undocumented immigrants are generally not eligible for full KanCare benefits. However, emergency Medicaid may cover certain emergency medical conditions. Lawfully present immigrants may qualify depending on their status and how long they have been in the U.S.
Is there a cost for KanCare?
KanCare has no monthly premiums for most enrollees. Some services may have small copays, but costs are minimal. Preventive services for children are covered with no cost-sharing.
Can I apply for my child even if I do not qualify?
Yes. Children have much higher income limits than adults. Even if you as a parent do not qualify for KanCare, your child may qualify for Medicaid or CHIP with income limits up to 255% FPL.
What is the difference between KanCare and CHIP?
KanCare is the overall Medicaid managed care program. CHIP (the Children's Health Insurance Program) is part of KanCare and covers children in families whose income is too high for regular Medicaid but still within CHIP income limits (up to 255% FPL).
Does Kansas have Medicaid expansion?
No. As of 2026, Kansas has not expanded Medicaid under the ACA. This means most childless adults do not qualify for KanCare, regardless of income. Legislative efforts to expand have been introduced but have not passed.
Where can I get help with my application?
You can get free help from the KanCare Clearinghouse (1-800-792-4884), your local DCF office, community health centers, or hospital financial counselors. You can also use our free screener to check your eligibility for KanCare and other programs.
Key Contact Information
| Resource | Contact |
|---|---|
| KanCare Clearinghouse | 1-800-792-4884 |
| DCF Customer Service | 1-888-369-4777 |
| Online Application Portal | cssp.kees.ks.gov |
| HealthCare.gov | healthcare.gov |
| Kansas Legal Services | 1-800-723-6953 |
Applying for Medicaid in Kansas takes some preparation, but the process is straightforward once you have your documents ready. Whether you apply online, by phone, or in person, help is available at every step. Start by checking your eligibility with our free screener to see which programs you and your family may qualify for today.
