UnitedHealthcare Program Documents - Kansas

• Kansas UHC and Aetna
• KS COVID-19 Essential Worker Letter

Flowchart

• Enrollment Flowchart

Employer

• Employer Checklist
• Completed Employer Packet (EXAMPLE)
• Agency Directing Employer Enrollment Packet
• Employer FAQ
• Acceptance Of Responsibility For Employment

Provider

• Provider FAQ
• Provider Enrollment Packet
• Completed Provider Enrollment Packet (EXAMPLE)
• Provider Checklist
• Form W-4
• 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
• FLSA Live In Exemption
• Provider Application Request Form
• Workers' Compensation Claim Information

Agency/Independent Contractor

• Information For Agencies And Independent Contractors
• Form W-9
• Agency/Vendor Invoice
• Independent Contractor Invoice
• Provider Information Form
• Agency/Vendor/IC Enrollment Packet

Guidance

• Guide To Pend Messages On Timesheets And Invoices

Timesheets

• Public Partnerships Mobile App Time4care Instructions
• 2021 PA Timesheet Payment Schedule
• Technology Program Enhancements

Invoices

• 2021 Invoice And Reimbursement Payment Schedule
• Service Code List
• Reimbursement Form

• Cost To Employer Chart
• How To Read Your Budget Summary
• Understanding Your Monthly Expenditure Report
• Carryover Authorizations FAQ
• Approving Service Authorizations
• Carryover FAQ

• Provider Change Of Information Form
• Provider Rate Change Form
• Separation Of Employment Form
• Payment Change Form
• Vendor Payment Change Form
• Application For Tax Exemptions
• Guide To Tax Exemptions

• Consumer Web Portal Guide
• Provider Web Portal Guide
• Creating And Editing Participant Profiles
• Updating ILC Information

• EVV Quick Guide
• How To Download Time4care™ On Your Mobile Phone
• EVV Member Faqs
• EVV Provider Overview
• EVV Member Cover Letter
• EVV Provider Faqs
• EVV Member Overview
• EVV Provider Cover Letter

• 2678 Form Instructions
• Carryover Authorizations Instructions
• DO10 Instructions
• Fiscal Agent Instructions
• KCNS032 Instructions
• SS 4 Form Instructions

• Abuse Registry Form Instructions
• I-9 Completion Checklist
• Direct Deposit Information

• Agency Fiscal Agent Form Instructions
• Agency Independent Contractor Direct Deposit Information
• W9 Instructions

*Some of the above links may take you to third-party operated websites.