Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 10/31/2025
2211
2212 Medically Needy (Spenddown) - The medically needy segment is comprised of pregnant women and children who while meeting non-financial criteria do not qualify because their income exceeds the poverty level guidelines of either Medicaid or CHIP. Most persons in the medically needy group are obligated for a share of their medical costs through the "spenddown" process. Kansas provides coverage for the following groups:
(1) - Pregnant women (including the 12-month postpartum period if the spenddown becomes met during the pregnancy)
(2) - Children up to age 18
(3) - Persons 65 years of age and older
(4) - Persons who are disabled or blind under SSA standards. Medically needy coverage can also be provided to caretaker relatives of dependent children, but Kansas does not currently provide for this.