Payee Change
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Address of New Payee
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Reason for Change
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Placement Change
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Old Address
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Income Change
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Resource Change
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Name & Address of School
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DCF: For clients 17-1/2 complete and mail
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Date of Change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928.pdf
(not needed for Imprest or SinglePay
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Street Address
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above within the first 10 days of each month
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herein; to discuss with provider any change in client’s or agency’s status/plan; and to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_2000_Forms/PPS2833.pdf
E-mail Address: christine.lucero@acf.hhs.gov
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Address: 915 SW Harrison, 5 th Floor N, Topeka, KS
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/CFSR_PIP_Q6_6_29_2010.pdfView duplicates
Email address
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following changes and return to the designated office within thirty (30) days of the change
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Date of Change
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Street Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.pdf
KANSAS LAWS AND REGULATIONS FOR SECURE RESIDENTIAL TREATMENT FACILITIES March 2022 Foster Care Licensing Division 555 SW Kansas Avenue, 2nd Floor Topeka, KS 66603
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Secure Residential Treatment Facility Laws and Regs Book 2022.pdfView duplicates
Required Elements for Submission of the Unified or Combined State Plan and Plan Modifications under the Workforce Innovation and Opportunity Act
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States must have approved Unified or
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https://www.dcf.ks.gov/services/RS/Documents/WIOA Combined Portion of State Plan ps 12-14-19.pdf
Facility Name: Licensed Program Type: Facility Address: License Number: I/we request an
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each request is to increase capacity, expand the age range, or to change the living units
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 057 Amendment Facilities.pdf
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 03/21
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Rehabilitation Services offers a variety of programs
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https://www.dcf.ks.gov/services/RS/Documents/Policy/Rehabilitation Services Policy Manual_public.pdfView duplicates
evaluate outcomes and direct new funds to address gaps in services and target populations
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that tends to be resistant to change, highly transient and often needing more than one
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2008/HB-2879-Fourth_or_SubsequentDUI.pdf
come to make some changes to better address challenges in equity of effort and travel and
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CSI) has been advocating for social change since the early 1960’s. While initial work
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https://www.dcf.ks.gov/services/PPS/Documents/FF-newsletters/June_July_Prevention in Kansas Newsletter.pdf