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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
 
Contracting Documents

Provider Packet Cover Letter

09/04/08

Provider Information vii v30.pdf

Provider Manual

02/11/08
Contract Attachment C/Provider Site Profile vii xi.pdf

11/19/08

Credential Application.doc

07/16/08

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 MicheleJ@kansashealthsolutions.org  or 866-547-0222 02/19/08

Misc Forms and Documents

Medical Necessity Guidelines

8/20/07

Medical Necessity memo GAF scores6-27-07.pdf

Revised GAF scoring sheet 6-27-07.pdf

Q & A from ProviderConnect 6-07 Trainings.pdf

Critical Incident Report Form

Q & A Rehab Documentation 2/13/08

03/17/08

KHS Incident Form 07012007 Electronic Version

Release of Information Required Elements

Request For ProviderConnect Access.doc

Update: Guidance on Authorization effective date

 

Corporate Compliance Plan

09/21/08

HCBS SED Risk Mgmt Tracking Form

06/03/08

Billing Manual 09/12/08

Q & A from Billing Meeting - May

09/12/08

Q & A from Billing Meeting - Aug

09/12/08
 

2008 Annual Report

09/12/08

Critical Incident Training (pdf)

11/14/08
 

Critical Incident Training (powerpoint)

11/14/08
 

Critical Incident Report Form Proposed (word)

11/14/08
 

Critical Incident Report Form Proposed (pdf)

11/14/08
     
PRTF Information

NOTE: Please see the manual for current forms

PRTF Manual 10/13/08
PRTF Waiver Brochure - Spanish 07/15/08
PRTF Waiver Brochure 07/15/08
PRTF Exception Request 08/04/08
PRTF Forms 10/03/08
HCBS PRTF Waiver Flowcharting steps 09/24/08
PRTF Attachment F Access Form 09/24/08
PRTF Webinar 10/27/08
     

Provider Forms

Provider Admissions Questions.pdf

 

Provider Information Update Form

09/24/08
1915(b) Services Authorization 07.01.08.pdf 06/30/07

Exception Request 1915(b) Services 07.01.08.pdf

06/30/07

Exception Request Initial Limits 07.01.08.pdf

06/30/07
OP Clinical Update 07.01.08.pdf

06/30/07

OP MH Registration 07.01.08.pdf

06/30/07
 
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 08/04/08
SED Waiver Manual 08/26/08
SED Attachments 08/26/08
     
ProviderConnect Training Materials

Agenda for ProviderTrainings.pdf

Medical Necessity Defined.pdf

KHS Provider Training

Documentation Training Webinar 021308

02/14/08

       

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