EES Policy No. 20-05-04 (Phase 2
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Primary DCF Areas Affected: Food Assistance
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The Families First Coronavirus Response Act of 2020 authorized the USDA to approve states plans to issue
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/Pandemic-EBTPhase2 Policy Memo.pdfView duplicates
Change of address caused by P-EBT will be addressed at next IR or Review
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- Follow normal processes to update the address in KEES if the case head contacts the agency
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N, O, P, Q or R
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https://content.dcf.ks.gov/EES/KEESM/Policy_Memo/Pandemic-EBTPhase3PolicyMemo.pdfView duplicates
to DCF any time there is a placement change, address change, or level of care change
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Check Change of Venue if: This is an acknowledgment of a referral due to a change of venue
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120_Instr.doc
new application shall be required for each change of ownership, sponsor, or address of the facility
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FC_AttendantCare/Regulations_for_Attendant_Care.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
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
Nutrition Services and In-Home Services Home and Community Based Services
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Services to SeniorsGraying of America 4 • In less than two decades (thirteen years), the graying of America
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2021/DCF KDADS Children and Seniors.pdf
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
III Provider Staff Assigned: If change, list reason: Address: Worker Phone #: 24 Hour Access Phone
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Same school with grade level change
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School Change: District
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.doc
access the statutes in this list via the Kansas State Legislature website
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Change of obligor's payor or address and employment; related health benefits coverage
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https://www.dcf.ks.gov/services/CSS/Pages/Kansas-Income-Withholding-Order-Statutes.aspx