Provider Forms

Coming this fall, Problem Gambling Forms will become part of the Carelon member registration process.

State Opioid Response Fund

Administrative Forms

Appeals Forms

Problem Gambling

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.

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.