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Preferred Plus of Kansas, Inc. (PPK) Enrollment Form Please type or print. Do not write in shaded areas. Your Employer / Company Name: Group #: Employees Legal Last Name: SSN: Legal First Name: Street
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Preferred Plus of Kansas is a program that provides extra support to individuals with certain disabilities or medical needs.
Individuals with disabilities or medical needs who meet the eligibility requirements are required to file for Preferred Plus of Kansas.
To fill out Preferred Plus of Kansas, individuals need to complete the application form with accurate information and submit it to the appropriate agency or organization.
The purpose of Preferred Plus of Kansas is to provide additional support and services to individuals with disabilities or medical needs to help them live independently.
Information such as medical history, disability status, income, and living situation must be reported on Preferred Plus of Kansas.
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