Coming this fall, Problem Gambling Forms will become part of the Carelon member registration process.
行政表格
- Brief Client Clinical Update
- Member Release of Information Updated 2023
- 多方发布示例
- W-9 (可编辑版本)
- KDADS SUD 申请表和说明
上诉表格
- 堪萨斯州行政上诉表 (英语)
- 堪萨斯州行政上诉表 (西班牙语)
- 堪萨斯州眼压上诉表 (英语)
- 堪萨斯州眼压上诉表 (西班牙语)
- 堪萨斯州 RTC 上诉表 (英语)
- 堪萨斯州 RTC 上诉表 (西班牙语)
问题赌博
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.