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Forms

General

  • Authorization Form for Use of Disclosure of Protected Health Information
  • CDDO Area Transfer Form
  • COVID-19 Medical Form Printable
  • COVID-19 Medical Form Fillable
  • Critical Incident Report
  • Dispute Resolution: Affiliated Providers Disputes with the SCDDO (A-04)
  • Eligibility Handbook
  • ES-3161
  • Home and Community Based Services MR/DD Medicaid Waiver Consumer Choice Form
  • Intake Packet - Age 6 and Under
  • Intake Packet - Age 7 and Older
  • KanCare Application
  • Policy Manual
  • Relias New User Form
  • SCDDO Consumer Information Changes
  • SCDDO Payment Guidelines
  • Service Changes Form
  • What is the SCDDO?
  • F102 Termination Cover Page

Fast Facts

Funding Committee

Functional Assessment

  • MFEI Manual

Quality Assurance Committee

QAC Manual

  • QAC Manual

Service Review Documents

Forms

Templates