Coming this fall, Problem Gambling Forms will become part of the Carelon member registration process.
State Opioid Response Fund
- SOR-IV-SUPRT Resources
- SUPRT-A survey
- SUPRT-C survey
- Email SOR form questions to sor.gpra@greenbush.org
Administratieve formulieren
Beroepsformulieren
- Kansas administratief beroepformulier (Engels)
- Kansas administratief beroepformulier (Spaans)
- Kansas IOP-bezwaarformulier (Engels)
- Kansas IOP-bezwaarformulier (Spaans)
- Aanvraagformulier Kansas RTC (Engels)
- Aanvraagformulier Kansas RTC (Spaans)
Probleem met gokken
Problem Gambling Forms are a part of the Carelon member registration process in Availity. The forms below are for REFERENCE ONLY. Please see the Kansas Specific Training Documents for the Availity Powerpoints related to Gambling processes.
- Ontslagformulier voor probleemgokken in Kansas
- Kansas Probleem met gokken Gelijktijdig formulier
- Aanvraagformulier voor probleemgokken in Kansas
- RTC-aanvraagformulier voor probleemgokken in Kansas
- Kansas Probleem Gokken VEP Exit Form
Note: Beginning in September 2025 problem gambling forms will be available as part of the member registration process in Availity. Navigate to the Availity login portal to complete Problem Gambling forms.