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
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
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/current/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.doc
What is the Child Care Provider Handbook? 5
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SECTION II: General Information for All DCF Child Care Providers 6
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Violations of the Provider Agreement 9
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Sample Consent for Medical Care Form
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https://content.dcf.ks.gov/ees/KEESM/Robo02-25/NewForms02-25/C10.docx
Change in status with sponsoring agency regarding health and safety standards
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Change in operation (e.g., name change, address, telephone numbers, ownership, household members
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https://content.dcf.ks.gov/EES/KEESM/Current/keesm10034.htmView 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
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
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