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Kansas to use MFEI for IDD waiver eligibility; go‑live set for July 1, 2025

3627246 · April 30, 2025
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Summary

State officials said the MFEI assessment will determine Medicaid HCBS waiver eligibility in Kansas as of July 1, 2025, while service planning will continue to rely on fuller interRAI assessments and MCO care planning; some timelines and tiering choices remain to be decided.

Seth Kilber, assistant commissioner for the long term services and supports commission at Cadence, said during a March modernization webinar that the Multidimensional Functional Eligibility Instrument (MFEI) will be the tool used to determine eligibility for Kansas IDD Medicaid waiver services starting July 1, 2025.

Kilber said the MFEI will produce a simple, binary determination — “yes or no” — on whether an individual qualifies for the waiver, while the fuller interRAI assessment will remain the core instrument used by managed care organizations and targeted case managers to create person‑centered service plans and allocate resources.

The change matters because Kansas has historically combined level‑of‑care eligibility with service‑planning tiers under the BASIS assessment; officials said the MFEI separates the binary eligibility decision from the support‑needs…

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