Kansas
UnitedHealthcare
In this section
- Overview
- Program Documents
- Electronic Visit Verification (EVV)
- News
- Contact Information
Program Documents
COVID-19 Resource Links
Enrollment Flowchart
For Consumers
For Employers
For Providers
- Provider FAQ
- KS UHC Provider Enrollment Packet Blank (2022)
- Completed Provider Enrollment Packet (EXAMPLE)
- Provider Checklist
- IRS Form W-4 2022
- Criminal Background Consent
- Criminal Background Check Application
- KS Adult Abuse, Neglect Exploitation Central Registry Release Of Information
- KS Child Abuse And Neglect Central Registry Release Of Information
- KS Criminal Background Check List Of Prohibited Offenses
- Provider Application Request Form
- Workers' Compensation Claim Information
- Abuse Registry Form Instructions
- I-9 Completion Checklist
- Direct Deposit Information
For Agencies/Independent Contractors
- KS WORK Invoice Letter To Vendors
- Information For Agencies And Independent Contractors
- Form W-9
- Agency/Vendor Invoice
- Independent Contractor Invoice
- Provider Information Form
- Agency/Vendor/IC Enrollment Packet
- Agency Fiscal Agent Form Instructions
- Agency Independent Contractor Direct Deposit Information
- W9 Instructions
Timesheets & Invoices
Budget & Authorization
Change of Information Forms
Portal
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