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Prevention and Protection Services

PPM 9000 Interstate Compact Forms

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Listing of key staff
Form Number Form Date Form Name Form Instructions Other Languages
PPS 9100 07/2015 Case Manager Statement doc  pdf    
PPS 9110 04/2017 ICAMA Form 7.01-Notice of Medicaid Eligibility/Case Activation doc  pdf    
PPS 9115 07/2016 ICAMA Form 7.02 -Notice of Action doc  pdf    
PPS 9116​ ​07/2015 ​ICAMA Form 7.02b -Important Information for Families ​pdf ​ ​
​PPS 9120 ​07/2015 ​ICAMA Form 7.03 -Report of Change/Family Status ​pdf ​ ​
PPS 9121​ ​04/2017 ​ICAMA Form 7.5 -Information Exchange (Cases Opened with ICAMA 6.01) ​doc  pdf ​ ​
​PPS 9122 ​07/2015 ICAMA Form 7.5 Additional -Additional Children (Cases Opened with ICAMA 6.01)​ ​doc  pdf ​ ​
​PPS 9130 ​07/2012 ​Interstate Compact Placement Request (ICPC 100A) ​doc  pdf ​doc  pdf ​
​PPS 9135 ​10/2012 Interstate Compact Report on Child's Placement Status (ICPC 100B)​ ​doc  pdf ​doc  pdf ​
PPS 9140 ​07/2015 ​Interstate Compact Financial/Medical Plan if Child is Placed Out of State ​doc  pdf ​ ​
PPS 9145​ ​07/2013 ​Interstate Compact on the Placement of Children-Priority Home Study Request ​doc  pdf ​ ​
​PPS 9150 ​07/2021 ​ICPC Home Study ​doc  pdf ​ ​
​PPS 9160 ​07/2021 ​ICPC Peliminary Home Study Report ​doc  pdf ​ ​
​PPS 9200 07/2020​ ICPC Acknowledgement and Updates ​​doc  pdf ​ ​

 

Kansas Department for Children and Families

Customer Service

1-833-765-2003
TTY:  1-785-296-1491

Benefits Assistance

1-888-369-4777

Report Child or Adult Abuse or Neglect

1-800-922-5330

Child Support Service Center

1-888-757-2445

Family Mobile Crisis Helpline

1-833-441-2240

Contact Us

Basic Needs

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Child Support Services Adoption Foster Care Family Mobile Crisis Helpline Family First Prevention Services Act

Older Adults & People with Disabilities

Adult Protective Services Deaf and Hard of Hearing Disability Determination Services Vocational Rehabilitation Centers for Independent Living

Report Fraud or Abuse

Report Abuse Report Benefit Fraud Mandated Reporter Adult Abuse Registry Child Abuse Registry

Divisions / Programs

Child Support Services Economic and Employment Services Family Mobile Crisis Helpline Foster Care Licensing Prevention and Protection Services Office of the General Counsel Operations Organizational Health and Development Rehabilitation Services
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