TOPEKA, Kan. (AP) — Advocates for seniors in Kansas say that several changes made to streamline the Medicaid application and renewal process have actually made it difficult for the state’s elderly population.

Kansas moved to a new computer system in 2015 for applying for Kansas Medicaid, otherwise known as KanCare. The state then funneled applications and annual reviews previously handed in regional offices into a single “KanCare Clearinghouse” in Topeka.

Since then, the number of seniors covered by KanCare for in-home nursing help has decreased, as well as the number being covered for nursing home beds.

“Some seniors are really having a tough time getting onto Medicaid,” said Dan Goodman, director of the Johnson County Area Agency on Aging. “They get frustrated, are in poor or declining health, become defeated by the process and give up.”

State spokeswoman Angela de Rocha said there are other factors behind the decrease in seniors on Medicaid, including an increase in those being served by another government program that gives alternatives to nursing homes.

But de Rocha said the state agreed that “the shortcomings of the Clearinghouse account for a significant portion” of the decrease.

“These populations have a more difficult time navigating the eligibility process,” she said.

Nursing home administrators have repeatedly complained that the computer system roll-out is hurting them financially and that delays have caused some homes to limit the number of people with pending Medicaid applications they’ll take.

The Kansas Department of Health and Environment have said it’s working to fix the problem. This year, the department is assigning a specific case worker to each nursing facility to allow nursing home billing departments to have a single point of contact who knows their cases. De Rocha said the agency is considering moving to that system for individual Kansas seniors as well.

RENO COUNTY— A Kansas teen convicted of voluntary manslaughter last summer was sentenced Friday to just under five-and-a-half years in prison.

Leo Wells, 19, Hutchinson, entered a plea in the case for the killing of 24-year-old Kenneth Thompson.

His defense team argued for departure for a non-prison sanction claiming that Wells was scared for his life and acted in self-defense. Attorney Lynn Burke also claimed there was drug activity that night and other guns at the June 24, party in the 100 Block of South Elm in Hutchinson.

The state argued there was no evidence that it was self-defense. District Attorney Keith Schroeder noted it was a murder; neither man was armed until they got to Wells’ car.

Wells then pulled out a gun and shot Thompson. After Thompson fell to the ground, Schroeder says Wells shot him at least three more times.

Family members on both sides of the case told the judge of their loss. The victim’s mother said her son referred to Wells as his brother. Thompson’s mother told the court that Wells killed someone he used to call his brother. The mother of Thompson’s child noted all the things he won’t get to see his son achieve — including graduation.

Wells’ mother says she lost two sons because she considered Thompson a second son. She believes the shooting was an accident.

Wells also spoke and told Thompson’s family, “I’m truly sorry for what happened.” He told the family that Thompson was his brother and friend. He then told the judge that he is not a bad person.

Although Judge Trish Rose agreed that Wells is not a bad person, she couldn’t find a substantial reason to depart and ordered the sentence be served.

By JIM MCLEAN

A crowded race for the Republican nomination for governor in Kansas has candidates looking for ways to stand out.

At a forum held this month in Wichita, the hopefuls signaled how they hope to separate themselves from the field.

Secretary of State Kris Kobach wants primary voters to see him as the true conservative in the contest.

“If you want to see full throttled conservatism in Kansas then I’m your man,” Kobach told a near-capacity crowd at the state GOP convention. “We will go full speed ahead.”

He used a question about property taxes to employ the sort of provocative language that has marked his career, and the campaign in front of him now. Kobach said “stealth” increases in the assessments on his Douglas County farm had made him and his wife “slave farmers.”

“We are growing our crops for Kansas and not ourselves,” he said, claiming it takes nearly all of their relatively small farm income to pay the taxes.

Gov. Jeff Colyer is Kobach’s main rival for the nomination, according to the most recent public poll on the race. He had the flu and sat out the Saturday debate.

The other, lesser-known, candidates pitched themselves as successful business leaders who could bring order to a state government in turmoil.

Willis “Wink” Hartman, a Wichita oil and restaurant businessman who has loaned his campaign $1.6 million and said he was ready to lead a turnaround in Topeka quit the race last week.

But Mark Hutton, the founder of a Wichita-based construction company and a former legislator said he brings something to the table that Hartman doesn’t: Statehouse experience.

“I’m the only candidate up here that has 25 years of CEO experience from the ground up building a company … coupled with four years of legislative experience and, more importantly, the relationships that are going to be necessary to move Kansas forward,” Hutton said.

During his four years in the Kansas House, Hutton compiled a conservative voting record but also earned a reputation for independence as one of the first Republicans to call for a rollback of then Gov. Sam Brownback’s tax cuts.

Kansas Insurance Commissioner Ken Selzer billed himself as a “thoughtful, calm decision-maker,” perhaps in contrast to Kobach’s more combative leadership style.  Repeatedly sounding practiced themes, Selzer promised to “lean in” to the job of reining in spending and growing the Kansas economy.

“We are going to make Kansas grow again,” Selzer said. “Remember that.”

Former state Sen. Jim Barnett watched from the sidelines, barred him from the stage by party officials for refusing to sign rules of participation that he said amounted to censorship.

“‘I’m not going to sign what I think is a debate agreement that is against democracy and the principles of this country,” Barnett said. “I would have spoken the truth and we didn’t hear that tonight. … What we heard tonight was a return to the Brownback/Colyer policies that took our state down to its knees.”

Rather than calling for reduced spending, smaller government and putting the Kansas Supreme Court in its place on the school funding issue, Barnett said he would have advocated for increased education funding and for expanding Medicaid eligibility to an additional 150,000 low-income Kansans.

Barnett was the party’s gubernatorial nominee in 2006 but lost to former Democratic Gov. Kathleen Sebelius.

The candidates who participated – Kobach and Hutton in particular – took a hard line on the school funding issue. They insisted it’s the legislature’s job should decide what’s appropriate, not the court.

“We have to clear up this constitutional amendment issue and tell the Supreme Court — the Sebelius Supreme Court — to butt out,” Hutton said.

Kobach cautioned GOP voters against buying the “fake argument” made by supporters of Medicaid expansion that it would help struggling rural hospitals.

“Unfortunately, there are some Republicans who haven’t got the message yet,” he said.

A recent poll by Remington Research Group, a GOP consulting company, showed Kobach and Colyer running neck-and-neck in the early going. Colyer held a 23 percent to 21 percent lead. Barnett was a distant third at 8 percent, followed by Hutton and Hartman at 5 percent each and Selzer at 3 percent.

The tilt-to-the-right tone of the debate scored well with the Republicans who came from around the state for the convention. For instance, retired Wichita teacher Elaine Fisher agreed with attacks on the Kansas Supreme Court over school funding.

“We need to get away from judges controlling how much money the state has to pay for education,” she said.

But the assault on the state’s high court didn’t resonate with everyone. Bill Clifford, a Garden City ophthalmologist and chair of the Finney County Republican Party, says what works in the convention hall may not work with the cross-section of voters needed to win.

“We have a much broader voting population out there,” the western Kansas Republican said. “All the candidates need to touch that group that wasn’t present in the building tonight.”

Jim McLean is managing director of the Kansas News Service. You can reach him on Twitter @jmcleanks

KANSAS CITY, Mo. (AP) — A 35-year-old Kansas man is likely to spend the rest of his life in prison after being sentenced for molesting three young girls.

A Jackson County, Missouri, judge sentenced Jesus Garcia, of Kansas City, Kansas, on Friday to three life sentences, plus 15 years, all to be served consecutively.

Garcia was convicted in December of statutory rape of a victim younger than 12, child molestation, attempted statutory rape and statutory sodomy of a victim younger than 14.

Court documents say the mother of two of the girls told a social worker in 2016 at Children’s Mercy Hospital that Garcia had been sexually abusing them from 2014 to 2015.