Currently KenPAC serves approximately 242,000 enrollees in 102 counties. Additionally, the KenPAC program will be enhanced through development and implementation of a care coordination support function. The care coordination function will provide clinical and administrative support to KenPAC providers acting in the primary care case management role to support the continuum of services provided to enrolled KenPAC members. The service must be medically necessary to correct or ameliorate defects and physical and mental illnesses and conditions. Services may be preventive, diagnostic or treatment, or rehabilitative in nature.
All services require prior authorization.
Community mental health centers and other certified agencies arrange for and provide these services. There is a provision for Medicaid eligibility to be determined under a special income level for individuals who otherwise meet all requirements for receiving SCL services. The services are available statewide. The acquired brain injury services program provides home and community based services to individuals with a brain injury as an alternative to nursing facility services so the individual can remain in the community with existing resources. Increased income limits and resource limits are used in the eligibility determination.