On May 1, 2018, the new MS-2126 form was posted on the Policy Forms page of the KanCare website and on the Forms page of the Kansas Medical Assistance Program (KMAP) website under the Beneficiary Information heading. It is available for immediate use by providers.   

In order to allow facilities adequate time to transition to the new form, the Kansas Department of Health and Environment (KDHE) will continue to accept the old version of the form through July 31, 2018. Previous versions of the form will no longer be accepted after that date.

Read the revised form.

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Addy Cunningham
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 husband and their two cats.