See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.
Provider Forms and Reference Guides
- Entity / Group Provider Disclosure of Ownership and Control Interest Online Form
- Entity / Group Provider Disclosure of Ownership and Control of Interest Paper Form
- Individual Provider Disclosure of Ownership and Control of Interest Form
- Kansas Provider Appeal Online Form
- Kansas Provider Grievance Online Form
- Kansas Provider Referral Online Form
- KanCare Medicaid Behavioral Health Inpatient Prior Authorization Request Form
- KanCare Medicaid Behavioral Health PRTF Prior Authorization Request Form
- Obstetrics / Pregnancy Risk Assessment Form
- OptumRx Commercial and Medicaid Payer Sheet - This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx Commercial and Medicaid business.
- OptumRx UnitedHealthcare Community Plan of Kansas (Dual Eligible Only) Payer Sheet - This document outlines the processing instructions for OptumRx UHC Plan of Kansas (Dual Eligible Only) business.
- Physician and Provider Demographic Change Submission Form
- U.S. Department of Health & Human Services Consent for Sterilization Form
The following links will bring you to each provider portal.
- KanCare - Medicaid for Kansas
- Kansas Department of Aging and Disability Services (KDADS)
- Kansas Department of Health and Environment (KDHE) / Division of Health Care Finance (DHCF)
- Kansas Medical Assistance Program (KMAP)
- MARCH Vision Care
- MedTrans - Kansas transportation providers
- Scion - Scion Dental, Vestica Healthcare and Ocular Benefits