DOB APPROVAL STAMP (If Required) Revised 05/03/2022
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Kansas Department for Children and Families Beth Lange or Leslie Rannebeck 785-296-3967
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Is/Are the proposed rule(s) and
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https://www.dcf.ks.gov/Newsroom/Documents/Economic Impact statement_FFS_1-4-24.pdf
Kansas Family Mobile Crisis Response successfully launched
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Services are available for all Kansans 20 years old or younger, including anyone in foster care or formerly in foster care
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https://www.dcf.ks.gov/services/PPS/Documents/FY2022DataReports/Family First/Aug_Sept_Oct2021_ Prevention in Kansas.pdf
State of Kansas Authorization to Disclose Information Appendix 5Q Department for Children
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orally, in paper documents, or electronically by e-mail, fax machine, or data entry into the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5Q.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Initial Eligibility Determination
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If the child is school age
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E-mail address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5410A.pdf
State of Kansas PPS 8400H Department for Children and Families Rev. 1/2023 Prevention and Protection Services Page 1 of 20
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Quality Residential Treatment Program (QRTP) Site Visit
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400H.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Initial Referral to Out of Home Placement Provider For Child in DCF
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Email address
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E-Mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5110.pdf
Can this email address be used to make contact
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State: Zip: Telephone Number: Fax: Email: SSN Federal Employer ID Number
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https://content.dcf.ks.gov/EES/KEESM/Appendix/C-12 ES-1650 Regulated Child Care Provider Enrollment REV.pdfView duplicates
State of Kansas PPS 8400E Department for Children and Families REV. 1/2023 Prevention and Protection Services Page 1 of 18
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Transitional Living Program (TLP) Site Visit Tool
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_8000_Forms/PPS8400E.pdf
TITLE IV-B CHILD AND FAMILY SERVICES PLAN
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U.S. Department of Health and Human Services
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This 2024 Annual Progress and Services Report (APSR) is the fourth annual report related to the
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https://www.dcf.ks.gov/services/PPS/Documents/FY2024DataReports/Public Website Documents/Kansas TITLE IV-B APSR 2024_10132023.pdfView duplicates
- Prevention and Protection Services Family Handbook
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Introduction A Message for You Over the past few years, child welfare services in Kansas have placed added value on the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5137.pdf