The Kansas Department for Aging & Disability Services held a meeting on December 21, 2024, to discuss the transition from the BASIS assessment tool to the MFEI (Managed Care Functional Assessment) for Home and Community-Based Services (HCBS) for individuals with Intellectual and Developmental Disabilities (IDD). A key focus of the meeting was the restructuring of tier rates for residential services, which has raised concerns among stakeholders.

Participants expressed confusion regarding the proposed tier system, particularly the positioning of tier rates. Traditionally, tier 1 has been the highest level of support, but the new structure suggests that tier 3 would be the highest, which many believe is counterintuitive. This change could lead to misunderstandings among families who have relied on the existing tier system for years. One participant highlighted that parents might react negatively upon learning their child, previously classified as tier 1, is now categorized as tier 3, despite the potential for reduced support.

The discussion also touched on the MFEI's approach to assessing individual needs. The new system aims to provide a more comprehensive view of the services required by individuals, focusing on their capabilities and support needs rather than solely on limitations. This holistic assessment will incorporate multiple data sources, including assessments conducted by Managed Care Organizations (MCOs), to ensure that individuals receive appropriate support tailored to their unique situations.

Overall, the meeting underscored the importance of clear communication regarding the tier changes and the need for a seamless transition to the MFEI system to avoid confusion and ensure that individuals with IDD receive the necessary support. Stakeholders emphasized the need for ongoing dialogue as the transition progresses to address concerns and clarify the implications of the new assessment framework.