SI KC00520.800 Facility Determinations for Kansas Institutions for Mental Disease (TN 1 - 06/2003)

A. Background

The Center for Medicare and Medicaid Services (CMS) does not allow Medicaid payments for individuals ages 22 through 64 who reside in facilities designated as Institutions for Mental Disease (IMD). The CMS policy is based on the law and regulations (42 CFR 435.1008 and 42 CFR 435.1009.)

The following facilities in Kansas are designated as IMDs:

  1. Applewood Rehabilitation, 1720 W. 2nd St., Chanute, KS 66720-1939

  2. Edwardsville Manor, 751 Blake Street, Edwardsville, KS 66111-1338

  3. Heritage Village of Eskridge, 505 N. Main Street, Eskridge, KS 66423

  4. Gatewood Care Center, 225 E. Jewell, P.O. Box 192, Russell, KS 67665-0192

  5. Friendship Manor Rehab. Center, 200 Main Street, Haviland, KS 67059-0269

  6. Medicalodge of Paola, 501 Assembly Lane, Paola, KS 66071-1854

  7. Valley Health Care Center, 12th and Sycamore, Valley Falls, KS 66088

  8. Florence Health Care, 9th and Marion, Florence, KS 66851-1299—CLOSED 09/30/02

  9. Westview Nursing Center, 500 Peabody, P.O. Box 142, Peabody, KS 66866-0142

  10. Indian Trails, 1112 SE Republican Ave., Topeka, KS 66607-1614

  11. Countryside Health Center, 3401 SE Seward, Topeka, KS 66616-1651

  12. Brighton Place West, 331 SW Oakley Ave., Topeka, KS 66606-1914

  13. Brighton Place North, 1301 NE Jefferson, Topeka, KS 66608-1118.

The Kansas Department of Social Services (SRS) may provide state funding for IMD placements for individuals ages 22 through 64. SRS funding is considered a medical/social service as defined in SI 00815.050 and would not be counted as income to the individual. Because Medicaid does not pay over 50% of the care for individuals in this category, the FBR (less any countable income) is payable.

B. Field Office Procedure

Servicing field offices have included documentation of IMD status on SSA-8045s for the facilities listed in Section A. above. Individuals ages 22 through 64 are eligible for the full FBR (less any countable income) effective July, 2003.

The Regional Office will notify the servicing field offices when further information is available from SRS on state funding for periods before July, 2003.

C. References

SI 00520.011—Determination of Applicability of $30 Payment Limit

SI 00815.050—Medical and Social Services, Related Cash, and In-Kind Items


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0500520800KC
SI KC00520.800 - Facility Determinations for Kansas Institutions for Mental Disease (TN 1 - 06/2003) - 06/09/2003
Batch run: 01/27/2009
Rev:06/09/2003