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Kansas providers warn of new waiver wait lists as committees review HCBS shortfalls
Summary
Advocates and providers told the Committee on Social Services Budget that shortfalls in frail elderly, brain-injury, TA and IDD waivers could create waiting lists and push Kansans into costlier institutional care unless the Legislature funds enhancements and reappropriations.
Advocates and providers told the Committee on Social Services Budget on Jan. 29 that shortfalls in multiple home- and community-based services (HCBS) waivers risk creating waiting lists that would drive eligible Kansans into nursing facilities or hospitals.
Multiple witnesses cited KDADS estimates and agency figures to quantify the shortfalls. ‘‘According to KDADS December 2025 estimations, the projected shortfall for both of these waivers is 22,000,000 [state general fund] in State fiscal year 2026 and 36,300,000 in State fiscal year 2027,’’ said Liz Cabal Williams of Impact Home Health during a remote presentation. Dan Goodman of Kansas Advocates for Better Care told the committee a similar gap of roughly $33,000,000 could force an FE (frail elderly) waiting list and push older Kansans into nursing homes.
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