I work in this field in Indiana...we have rate setting that takes place every two to three years...The state will look at the past two to three years receipts and payroll expenses and what it costs to maintain the group home...then it sets a daily rate based on that. You can only get per day per client what the state allows...Medicaid does not allow for this kind of dispersment. There had to be something fishy going on because this kind of increase to one agency or another would send up a huge red flag...if they do something different in Kansas that allows the Governor or her Secretary to dole out that kind of case then there is something wrong with the system...NO WONDER MEDICAID IS ALWAYS BEING CUT!!!