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Kansas Medical Assistance Program P O Box 3571 Topeka, KS 666013571 Provider 18009336593 Beneficiary 18007669012Behavioral Interventions Attestation Section I: Instructions Complete the information

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What is forms - kmap-state-ksus?

Forms - kmap-state-ksus are specific documents required for reporting certain information related to Medicaid eligibility and claims in the state of Kansas.

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Individuals or entities that are providers in the Kansas Medicaid program must file forms - kmap-state-ksus.

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To fill out forms - kmap-state-ksus, you need to gather the required information about the services provided, complete the form with accurate details, and submit it according to the instructions provided by the Kansas Medicaid program.

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The purpose of forms - kmap-state-ksus is to ensure proper documentation and reporting of Medicaid services rendered to ensure compliance with state regulations.

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The forms - kmap-state-ksus require reporting information such as patient details, service dates, types of services provided, and billing information.