listed on the W9 form, that person’s SSN, address, and signature are required for this form
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submitting the PPS 6170 (CFS 4026a) Change in Status Form - Changes in living arrangements
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6149.docx
helpful for obtaining information on females, as a female’s name may change when she marries
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last name, city and state to obtain all people (with same last name) phone/address listings
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_3N.doc
Section 1: State certifications Page 2
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Section 2: Public comment Page 5
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Section 3: Submission of the State Plan Page 6
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Section 4: Administration of the State Plan Page 8
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https://www.dcf.ks.gov/services/RS/Documents/SP-Word/Assurances.doc
Date Placed: Previous Placement Name Address: Address: From: To: Current Placement Name: Address: Address: From: Medicaid Card Mailing Address (if different
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5460.pdf
CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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coping skills, social skills, and to address any underlying problems which are affecting the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400H.doc
: • Locating information • Establishing or enforcement of an order • Modifying a child
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Can I change it
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LEGAL RIGHTS The laws and regulations that control the CSS program may change overtime
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https://www.dcf.ks.gov/services/CSS/Documents/CSS5000 final 1.17.2019 v2.0.pdfView duplicates
CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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or arrange for strength-based interventions to address crisis and or daily living situations
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.doc
Youth Residential Center II (YRCII) Site Visit Tool
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Instructions: The Site Visit Tool is to
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CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400G.doc
Instructions: The Site Visit Tool is to be completed at in-person site visits for initial
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CAP. Facilities will have 14 days to address the missing items and submit corrections or a
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400F.doc
CAP. Facilities will have 14 days to address missing items and submit corrections or a plan
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or arrange for strength-based interventions to address crisis and or daily living situations
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400A.doc