Page 1 of 19 FCL 403
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of Applicant/Licensee (exactly as it appears on the license) Telephone Number Email Address
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Surveyor’s Signature Agency Represented Email Address Date
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 403 FFH Survey Instrument-CPA.pdfView duplicates
Chapter 2: Family Foster Home Descriptions
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Levels of Service (Level of Care/LOC
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HCBS Waiver Family Foster Home (HCBS – I/DD
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Chapter 3: All Family Foster Homes
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https://www.dcf.ks.gov/services/PPS/Documents/CWHandbookofServices/placementservicestandardsmanual.pdf
The 2022 regular session of the legislature passed
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House Bill 2510 containing two sections setting forth
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that the Department for Children and Families (DCF
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DCF in August across the state
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2023/DCF PBC Implementation Plan 2023.pdf
A: This is submitting the documents by e-mail, which will be listed at the top of the form
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is preferred that documents are submitted via e-mail, you can also submit documents via fax
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FAQ.pdf
Notification of Grant Award (NOGA) Under Federal Grant Award (ALN) Number 93-472 DCF Award Number
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KS 66603-3444 Phone: (785) 506-7178 Email: jennifer.goodman@ks.gov (2) To Grantee: TFI
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https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/TFI Family First NOGA SFY24.pdf
Kansas Children and Family Services has elected to use this
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E-mail Address: christine.lucero@acf.hhs.gov
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E-mail Address: Tanya.Keys@srs.ks.gov
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E-mail Address: Deanne.Dinkel@srs.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/CFSR_PIP_Q7_Final.pdf
Section 11 / Part 1 Effective Date: April
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Work phone, home phone, fax and e-mail of the vendor
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Name Address City State ZIP E-Mail FAX # Tax ID# Work Phone FEIN/SSN Home Phone License
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Provider_Agreement_Packet.pdf
Address City, State, Zip Phone Number Email K. Financial Officer Name Title Street Address City, State, Zip Phone Number Email L. Authorizing Official*** Name Title Street
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https://www.dcf.ks.gov/Agency/Operations/Documents/Grant Information Sheet rev accessible.pdf
Form OGC-1002 (RFP - Attachment A) REV 07/14
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Email
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D. Geographic Area To Be Served, Target Population, and Estimated Number To Be Served
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E. Federal Employer Identification Number (FEIN
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https://www.dcf.ks.gov/Agency/Operations/Documents/RFP-AttachA-GrantAppInfoSheet(OGC-1002)accessible.pdf
U.S. Department of Health and Human Services
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Overview of Kansas Child Welfare System
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Prevention in Kansas: An area of focus and growth
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Prevention Service Track: Choosing the right path
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https://www.dcf.ks.gov/services/PPS/Documents/Other/IVE_Prevention_Plan.pdf