On June 1, 2017, the revised Notification of Facility Admission/Discharge (MS-2126) form was posted on the Kansas Family Medical Assistance Manual (KFMAM) page of the Kansas Department of Health and Environment (KDHE) website. The link has also been updated under the Beneficiary Information heading on the Forms page of the Kansas Medical Assistance Program (KMAP) website. It is available for immediate use by providers. During this transition time, KDHE will continue to accept the previous version of the form through August 31, 2017.  After that time, they will not be accepted.

Access the new form here.

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Addy Mead
Addy Mead
A graduate of Wichita State University’s Math Education program, Addy is using her planning and organizational skills, creativity, and love of helping others to support our providers and members. First as Administrative Coordinator and now as Associate Director of Communications & Events, Addy’s primary duties include overseeing general member communications through social media, our Weekly Member Calls, the Aging Update, and database and website maintenance. She also collaborates with the team to plan, produce, and market events across all aspects of LeadingAge Kansas, manage Continuing Education processing.. Outside of the office, Addy enjoys crafting, playing board games, video games, and DnD, and spending time with her fiancé and their two cats.

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