When a change
in status occurs that does not effect the provider's eligibility to
do business with the agency (i.e., - name change on license but no
lapse in licensure
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https://content.dcf.ks.gov/EES/KEESM/Robo12-23/keesm10030.htmView duplicates
resource will not be used, (4) report a change in the placement resource and/or type of care, (5) report a change of address, and 6) close an ICPC case
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It is an extremely useful tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_9000_Forms/PPS9135_instr.docView duplicates
obtain written approval from the secretary before making any change in any of the following
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the school district at least 90 days before the anticipated date of any proposed change
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_Residential_Center_Group_Boarding/Res_Center_Grp_Boarding_Regs.pdf
placed in care, a report of the name, address and birthdate shall be filed with the Kansas
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(B) the name, address and telephone number of a physician to be called in case of
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_Regs_Laws/Gen_Regs_122-132_pg27.pdf
Address of New Payee Reason for Change: Provide a brief explanation for change, ie, child entered DCF custody on 9/15/06
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Other Date of Change: Effective date of this change
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928_instr.doc
HOW DO I REPORT A CHANGE OF ADDRESS TO THE KANSAS PAYMENT CENTER
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HOW DO I CHANGE FROM DIRECT DEPOSIT TO PREPAID DEBIT CARD
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https://www.dcf.ks.gov/services/CSS/Documents/KPC_FAQs for Payment Received_v2.pdf
Placement Change
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Send Medicaid card to the current placement address indicated above
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Name of Insurance Company: Insurance Company's Address: Employer: Medical: Yes No
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5460.doc
KANSAS LAWS AND REGULATIONS FOR LICENSING PRIVATE CHILD PLACING AGENCIES Department for Children and Families March 2022 Foster Care Licensing Division 555 SW
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Child Placement Agency Laws and Regulation Book 2022.pdf
Complete this form or go on-line at www.dcf.ks.gov to apply
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Daytime Phone: Message Phone: Home Address: City: Zip: Mailing Address (if different): City: Zip: Suspicion-based drug
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https://content.dcf.ks.gov/EES/KEESM/Forms/ES-3100_9_grandparents_as_caregivers_application07-17.pdfView duplicates
Yes No Date of Change:Date of change: 5. Child graduated from high school
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DCF worker: DCF Office: Street Address: City, State, Zip: Telephone #: Fax
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6170.doc