Rev. 7-07 TO: FROM: ADDRESS: ADDRESS: I
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INFORMATION: Name: Case Number (If Known): Medicaid ID #: Address Change: Date: Responsible Person or Alternate Contact Change: Date: II
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3161NOTIFICATION_OF_MEDICAID7_07.pdfView duplicates
Provide the names and affiliations of the individuals who participated in the statewide assessment process; please also note their roles in the process
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas Statewide Assessment 2023.pdf
Type the name of the Social
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Effective date of this payee change
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Provide a brief explanation for change, ie, child entered DCF custody on 9/15/06; child
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[same as selection for ‘old address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928_instr.pdf
This service delivery model is part of the Great Expectations systems change initiative
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Address responsibility of the providers to coordinate with the community service system
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https://www.dcf.ks.gov/services/RS/Documents/State Plan 2014-2016/4.8(b)(4)_Coop_agreements_SE.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This Child and Family Services Plan (CFSP) is the report for the five-year time period Fiscal Year
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https://www.dcf.ks.gov/services/PPS/Documents/Other/TitleIVBStatePlan.pdfView duplicates
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
FP-1020 10/21 Page 1 of 1
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Kansas Department for Children and Families
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3) Mail in Address: Office of Background Investigations, Kansas Dept for Children and
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Your SSAN is needed to keep
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FP-1020 With Waiver.pdf
Workforce Innovation and Opportunity Act Program Year 2022
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Kansas Rehabilitation Services Mission & Principles pg
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Note from Rehabilitation Services Director pg
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https://www.dcf.ks.gov/services/RS/Documents/PY2022 SRC Annual Report_pdf (002).pdf
My Plan for Successful Adulthood State of Kansas PPS 3059 Department for Children and Families REV. July 2022
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I think that these things could change if
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059.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_Q7_Final.pdf