ADULT CARE HOME ADMINISTRATOR
LICENSURE
Background and Licensing Steps
STATE STRUCTURE
• Governor
• Board of Adult Care Home Administrat
ors
(BACHA)
(licensing authority for Kansas.)
• Department for Aging & Disability Services
• Survey, Certification, Credentialing Commission
• Health Occupations Credentialing (HOC)
(adm
inistrative staff to the Board)
PURPOSE & BACKGROUND OF
HEALTH OCCUPATIONS CREDENTIALING (HOC)
Kansas law recognizes 34 health occupational
groups for which licensing, registration, or
certification is provided. There are 10 regulatory
bodies that issued credentials to those professions.
Health Occupations Credentialing issues licenses to
adult care home administrators, dietitians,
speech-language pathologists and audiologists
& issues registration to adult care home operators.
Why Licensure?
• The purpose of credentialing a health care
profession is to protect the public from the
unr
egulated practice of a profession whic
h
can harm or endanger the health, safety or
welfare of the public.
HISTORY
• An amendment offered by Senator Edward Kennedy to a bill known as
the 1967 Amendment to the Social Security Act, subsequently enact
ed
by
the Congress and signed into Law by President Johnson in January,
1968, becoming Public Law 9-248. This law set forth that States
participating in the Medicaid (Title XIX) Program were required t
o
establish programs to license Adult Care Home Administrators, effective
J
uly 1, 1970.
• As a result of this action the Kansas legislative session of 1969 saw t
he
adopt
ion of Substitute for House Bill 1515, which authorized
and
di
rected the State Board of Health to administer the provisions of that
act and adopt rules and regulations providing for the licensure of
Adult Care Home Administrators.
• The first Kansas Adult Care Home Administrator licenses
w
ere issued effective July 1, 1970.
Board of Adult Care Home Administrators
The Kansas Board of Adult Care Home Administrators is composed of
seven members, appointed by the governor. Members include:
• Two representatives of professions & institutions concerned with the care
and treatment of chronically ill or infirm elderly patients (Health
Professionals),
• Two consumer representatives who have no current or previous
involvement in the financial affairs or as a member of the governing body of
any adult care home or any association directly concerned with the
regulation or licensure of adult care homes in the state (Consumers),
• Three adult care home administrators who, at the time of their appointment,
are licensed by the state and are actively engaged in the administration of
adult care homes within the State of Kansas (Administrators).
Members serve on the board for terms of three years or until otherwise
disqualified from serving on the board and may serve up to two consecutive
terms.
LICENSURE
There are several types of licensure:
TEMPORARY LICENSE
FULL INITIAL LICENSE
RECIPROCAL LICENSE
RENEWAL OF LICENSE
REINSTATEMENT OF LICENSE
TEMPORARY LICENSURE
• Issued for the purpose of serving on an emergency basis for a
facility in need of an administrator, OR
• Issued to a candidate who has been previously licensed in Kansas
and
is eligible for reinstatement to allow the candidate to practice
w
hile accumulating the 50 hours of continuing education required t
o
r
einstate their full Kansas license, OR
• Issued to a candidate who holds a license as an adult care hom
e
administrator in another state and is otherwise eligible for reciprocity
- Effective for 60 days. May be extended for two consecutive 60-day
periods.
Temp License Requirements
• Written documentation that a licensed, qualified candidate is not
available to serve as administrator in the facility and be endorsed to
be
the most qualified candidate by an authorized representative of
the governing body of the facility where the person is to
be
employed;
• Minimum baccalaureate degree;
• Passing score on the state regulations exam;
• Application and $100.00 fee; O
R
• Have been previously licensed in Kansas as an adult care hom
e
administrator and be otherwise eligible for reinstatement; OR
• Hold a license as an adult care home administrator i
n
another state and be otherwise eligible for reciprocity.
Temporary Licensure Steps
Application materials can be downloaded from our website at www.kdads.ks.gov/hoc or
can be requested by emailing Karen Torbert at [email protected]
• Complete, sign & submit application form (signature must be notarized.)
• Submit temp license fee of $100.00 made payable to “KDADS”.
• Submit written documentation that a licensed, qualified candidate is not available and
that candidate is the most qualified candidate by an authorized representative of the
governing body of the facility.
• Request official sealed transcript verifying minimum baccalaureate degree be sent
directly to HOC.
•
Request, complete and submit State Exam (Note: State exam can be requested in
writing or by phone call upon submitting the license application. Candidates should
first acquire copies of the Kansas Nursing Facility regulations & Assisted
Living/Residential Health Care Facilities regulations from the website
www.kdads.ks.gov.
TEMPORARY LICENSE IS ISSUED
• Temporary license is approved, emailed to
applicant and viewable in the license verification
portal located at www.kdads.ks.gov/hoc
• If a candidate for full licensure has been issued
a temporary license and fails the national
examination, the candidate’s temporary license
shall expire on the date indicated on the license.
The candidate’s temporary license shall not be
extended or reissued.
INITIAL FULL LICENSURE
Issued to candidates who:
• Have never been licensed in Kansas or
any
other State
INITIAL FULL LICENSURE REQUIREMENTS
• Minimum baccalaureate degree
• Completion of 480 hr Administrator-in-Training (AIT)
Practicum
• Two letters of Reference
• Passing score on the State Exam
• Passing score on the National (NAB) Exam
• Payment of pro-rated licensure fee
Initial Full Licensure Steps
Application materials may be downloaded from our website at www.kdads.ks.gov/hoc
• Request official sealed transcript verifying minimum baccalaureate degree be sent
directly to HOC.
• Submit, on board-approved forms, one letter of reference from a licensed adult care
home administrator, in state or out of state, and one letter of reference
from another
person not related to the candidate.
• Request, complete and submit State Exam (Note: State exam can be requested in
writing or by phone upon submitting the license application. Candidates should first
acquire copies of the Kansas Nursing Facility regulations & Assisted
Living/Residential Health Care Facilities regulations from the KDADS website.
• Pay pro-rated licensure fee. (see Fee Sheet for more details.)
Continued . . . . .
Initial Full Licensure Steps Cont.
• Successfully complete 480 hr Administrator-in-Training (AIT) Practicum conducted by
an accredited college or university, or an equivalent educational training practicum.
- A listing of approved practicum providers is available at the website
www.kdads.ks.gov/hoc
- The practicum is to meet the following: 1) be completed in not more than three
practice settings; 2) incorporate the “core of knowledge,” as defined in K.A.R.
28-38-29, or the “domains of practice,” as defined in K.A.R. 28-38-29; 3) provide the
training in either, or a combination of, a licensed adult care home or long-term care
unit of a licensed hospital, excluding assisted-living and residential health care
facilities; 4) verify the candidate has obtained a preceptor in the adult care home or
hospital long-term care unit; 5) assume responsibility for coordinating with the
preceptor the type of training and supervision to be provided during the practicum and
6) ensure that a preceptor meets all requirements.
Initial Full Licensure Steps Cont.
• Pass the National Exam – (National Association of Long
Term Care Administrator Boards – NAB)
- The minimum passing scaled score for the NAB exam
is 113.
- A candidate who has failed three NAB exams must
complete a course of additional education submitted by
the candidate’s practicum coordinator and approved
by the board before submitting an application for
examination.
CONGRATULATIONS!
• License is approved, printed
and mailed to the licensee.
• Initial licensure is issued for
a
period of at least 12 months
and not more than 24 months
expiring June 30 of t
he
second calendar year
following date of issue.
Thereafter licenses are
ef
fective for 24 months.
RECIPROCAL LICENSURE
• Issued to candidates who
hold or held licensure in
anot
her State(s).
Reciprocal Licensure Requirements
• Two letters of Reference, and
• Passing score on the State Exam, and
• Payment of pro-rated licensure fee, and
• Verification of being favorably recommended by the State(s) in which the candidate is/was
licensed, and
• Documentation that the criteria of the licensing State in which the applicant is currently
licensed are substantially equivalent to the current Kansas examination, education,
training, and experience criteria, OR
• Documentation that the applicant has been continuously licensed during the preceding five
years. During that time, the applicant annually attained at least 2,080 hours of experience
as an administrator of record of a licensed adult care home or a licensed long-term care
unit of a hospital, OR
• Completion of 480 hour practicum and verification of minimum baccalaureate
degree.
Reciprocal Licensure Steps
Application materials may be downloaded from our website at www.kdads.ks.gov/hoc
or can be requested by emailing Karen Torbert at [email protected]
o Submit notarized Application for Reciprocal Adult Care Home Administrator License.
o Submit, on board-approved forms, one letter of reference from a licensed adult care home
administrator, in state or out of state, and one letter of reference from another person not
related to the candidate.
o Request, complete and submit State Exam (Note: State exam can be requested in writing
or by phone upon submitting the license application. Candidates should first acquire
copies of the Kansas Nursing Facility regulations & Assisted Living/Residential Health Care
Facilities regulations from the KDADS website listed above.
o Pay pro-rated licensure fee. (see Fee Sheet for more details.)
Continued . . .
Reciprocal Licensure Steps Cont.
• Request the licensing agency of the state from which you are requesting reciprocity and
each state in which you have been licensed provide verification of licensure either by
completing the “Reciprocity Licensure Questionnaire” or using their state verification form
and request they send to the Ks Dept. for Aging & Disability Services.
• Provide documentation of either:
• A) the criteria of the license-issuing jurisdiction are substantially equivalent to the current
Kansas requirements, OR
• B) The applicant has been continuously licensed during the preceding five years during
which time they annually attained at least 2,080 hours of experience as an administrator of
record of a licensed adult care home or a licensed long-term care unit of a hospital.
• IF neither A nor B apply, the candidate must complete a 480 hour Administrator-in-Training
(AIT) practicum conducted by an accredited college or university, or an equivalent
educational training practicum AND
• Request official sealed transcript verifying minimum baccalaureate degree
be sent directly to HOC.
CONGRATULATIONS!
• License is approved, printed
and mailed to the licensee.
• Initial licensure is issued for
a
period of at least 12 months
and not more than 24 months
expiring June 30 of the sec
ond
calendar year following date of
issue. Thereafter licenses are
effective for 24 months.
Renewal of License
• A full license, initial and reciprocity, will expire June 30 of the year that is less than two years from
issuance. Thereafter, the license will expire biennially.
• Acquisition of 50 click hours of continuing education (CE) in the “core of knowledge” subject area
w
ill be required to renew:
» Resident Care – 1
0 hrs minimum
» Administration – 3
0 hrs minimum
» Elective – m
aximum of 10 hrs
• Each licensee whose initial licensure period is less than 24 months is required to obtain at least
t
wo hrs of CE for each month in the initial licensure period. The total hours and breakdown of CE
is as follows on the next page for licenses effective less than 24 months:
Renewal Requirements
Month in which license was issued
TOTAL
Resident Care
(20%) (Minimum)
Administrative
(60%) (Minimum)
Electives
(Maximum)
August (23 month license) 46 9
28 9
Sept (22 month license) 44 9 26 9
Oct (21 month license) 42 8 26 8
Nov (20 month license) 40 8 24 8
Dec (19 month license) 38 8 22 8
Jan (18 month license) 36 7
22 7
Feb (17 month license) 34 7 20 7
March (16 month license) 32 6 20 6
April (15 month license) 30 6 18 6
May (14 month license) 28 5 18 5
June (13 month license) 26 5 16 5
Renewal Requirements Cont.
• A renewal notice will be emailed & mailed
at least 30 days prior to expiration of your
license.
• (It is important to notify the board of any
change in email/mailing address so
notices will be received.)
Renewal Steps
There are two options
for license renewal:
• OPTION 1 – ONLINE RENEWAL PROCESS
• A few reasons online renewal may be the choice for you:
• Convenience: Available beginning May 15, 24 hrs daily;
• Additional payment options
• Immediate Confirmation – User receives a printable
c
onfirmation statement verifying the renewal process was
successfully completed and also serves as a receipt of
payment.
• Instructions: go to www.kdads.ks.gov/hoc and click on the
Online License Renewal link.
Renewal Steps Cont.
HOW TO RENEW ONLINE
• Log in
(no special PIN required)
• Update address if necessary
• Answer questions about discipline
• Attest to CE Statement
• Check out
• Receive Confirmation
Renewal Steps Cont.
• OPTION 2 – PAPER-BASED RENEWAL PROCESS
• If the paper-based renewal is preferred, follow the steps
below:
• 1 – Complete, sign and return the form titled “Adult Care
Home Administrator Licensure Renewal Notice” which
licensee will download from the KDADS website.
• 2 – Enclose the $100 renewal fee made payable to KDADS
or complete and enclose the authorization for
payment of fees by Visa or Master Card.
Renewal of License Cont.
• Licensees must keep all CE documents (certificates, course
content, objective, time-frame agenda) in the event their
renewal is randomly audited, but only then must they submi
t
the i
nformation. CE content must meet regulation standards
.
A copy of the allowable Topics of Education is available on the
website as is a copy of the Methods for Earning Continuing
Education table.
• The attestation statement on the renewal application form
replaces the CE transcript previously required. The
online renewal option also includes a CE attestation
statement instead of a CE transcript.
Renewal of License Cont.
• CRITICAL DATES:
• All CE hours must be obtained by June 30 of the expiration year. If
the required hours are not obtained by June 30, the license will
expire and would require reinstatement.
• All applications, supporting documents and renewal fees must be
postmarked or submitted online by the expiration date to avoid a $50
late fee.
• Applications received postmarked or submitted online by July 31 of
the expiration year, with CE obtained by June 30 of the expiration
year, will be charged an additional $50 late fee.
• Applications received postmarked 60 days after expiration (on or
after Aug 1
st
) will not be accepted for renewal. Licensee will be
required to submit a reinstatement application, pay a renewal fee of
$100 and reinstatement fee of $120, and meet CE requirements.
Reinstatement of License
• Issued to candidates who have previously
held Kansas Adult Care Home
A
dministrator licensure which has laps
ed
for failure to renew.
Reinstatement Requirements
• Acquisition of 50 click hours of continuing education (CE)
in the “core of knowledge” subject area will be required
to renew:
» Resident Care – 10 hrs minimum
» Administration – 30 hrs minimum
» Elective – maximum of 10 hrs
• Verification of being favorable recommended by any
state(s) in which licensure had been obtained
while Kansas license was expired.
• $220.00 reinstatement fee
Reinstatement Steps
• Submit Application for Reinstatement listing the
required 50 CE hours;
• Submit copies of certificates of
completion/attendance for all programs;
• Submit course content, time-frame agenda for any
programs not prior approved by KDADS;
• Request verification of licensure from any state(s)
in which license was acquired
after Kansas license expired;
• Pay $220 reinstatement fee
License is Reinstated
• Original Kansas license number is
reactivated.
