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Kansas Health Solutions – Downloads
Category
File Name
Posted
837 & 835 Information
837 Health Care Claim Companion Guidev1.0
835 Health Care Claim Paymentv1.0
KHS 837 Sample1.txt
ProviderConnect 837 Claims - Q and A.pdf
COB loops for 837 file submission
06/02/07
Claim Exceptions Definitions
04/10/09
837 Test File Upload Site
Contracting Documents
Provider Packet Cover Letter
09/04/08
Provider Information
06/01/09
Provider Manual
07/10/09
Contract Attachment C/Provider Site Profile vii xi
11/19/08
Credentialing Application
05/07/09
Check list of return documents
07/07/08
Training Letter
04/08/07
Contract Attachment D - not needed past 12/07
8/20/07
Contract Attachment E.pdf
Provider Agreement - Contact Michele Johnson at MJohnson@khs-ks.org or 866-547-0222
02/19/08
CW Pilot Forms
Area Consent for Treatment
06/09/09
Area MHC CHild Admission Information
Area Release for Info Exchange
FSGC Child Consent Treatment Form
FSGC Disclosure Instructions
FSGC Face Sheet
JOCO Release of Info
Johnson County Child Information
SE KS MHC Child Intake Form
COMCARE Children's Intake Packet
Misc Forms and Documents
Medical Necessity Guidelines
Medical Necessity memo GAF scores6-27-07.pdf
Q & A from ProviderConnect 6-07 Trainings.pdf
Q & A Rehab Documentation 2/13/08
03/17/08
Release of Information Required Elements
11/02/07
Request For ProviderConnect Access
04/22/09
Update: Guidance on Authorization effective date
9/10/07
Corporate Compliance Plan
09/21/08
HCBS SED Risk Mgmt Tracking Form
04/06/09
2008 Annual Report
09/12/08
Critical Incident Training (pdf)
02/25/09
Critical Incident Report Form (doc)
03/19/09
Critical Incident Training (powerpoint)
11/14/08
Critical Incident Report Form - Revised 8.08
01/20/09
Credentialing Specialty COB Form
Risk Assessment Worksheet
02/04/09
Special Health Care WebEx
Attendant Care Utilization
02/09/09
Attendant Care Chat
03/26/09
Answers to CI Training Questions
03/02/09
Prescription Coverage Changes to Medicaid
PRTF Information
NOTE: Please see the manual for current forms
PRTF Manual
12/19/08
PRTF Waiver Brochure - Spanish
07/15/08
PRTF Waiver Brochure
PRTF Exception Request
08/04/08
PRTF Forms
10/03/08
HCBS PRTF Waiver Flowcharting steps
09/24/08
PRTF Attachment F Access Form
PRTF Refresher Training
12/11/08
PRTF Attachments
CBSP Manual Form
03/06/09
PRTF Facilities Directory
04/24/09
Provider Forms
Provider Admissions Questions.pdf
Provider Information Update Form
06/02/09
1915(b) Services Authorization 07.01.08.pdf
06/30/07
Exception Request 1915(b) Services 04.10.09.pdf
Exception Request Initial Limits 07.01.08.pdf
OP Clinical Update 07.01.08.pdf
OP MH Registration 07.01.08.pdf
EXCEPTION REQUEST for QMHP Providing CPST
Adult Psych Rehab Worksheet
Mental Health Screening Form
03/25/09
Training
SED Waiver Training Materials
State POC AttM.pdf
ES-3161 Change Form AttL.pdf
ES-3160 Clinical AttK.pdf
SED_Training_Files.zip (all files)
SED_Waiver Brochure
SED_Waiver Brochure - (Spanish)
SED_Waiver Exception Request
SED Waiver Manual
12/22/08
SED Attachments
PASSR
MI - PAS
09/17/08
MI - RR
MR - PAS
06/24/09
MR - RR
10/08/08
ProviderConnect Training Materials
Agenda for ProviderTrainings.pdf
Medical Necessity Defined.pdf
KHS Provider Training
Documentation Training Webinar 021308
02/14/08
Crisis Hotline 1-800-466-2222 - Member Services 1-888-547-2878
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