appropriate UNIN screen(s). 2. Mass Change Instructions for the Medical Programs - A mass change run will be performed on 11/18/99 which will
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2000_0101_COLA.pdfView duplicates
appropriate UNIN screen(s). 2. Mass Change Instructions for the Medical Programs - A mass change run will be performed on the evening
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https://content.dcf.ks.gov/EES/KEESM/Implem_Memo/2004_0101_COLA.pdfView duplicates
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
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
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
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
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
(a) “Child placing agency” or “agency” means an association, organization, or corporation receiving, caring for, or finding homes for orphans or deprived children who are under 16 years
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_ChildPlacingAgencies/Child_Placing_Agencies_Regulations.pdf
to: Date of Change: Name of New Payee: Payee’s Phone: Address of
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Other Changes: Type: Date of Change: Multi-Month Distribution
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5928.doc