Contact Us Form
First Name
Last Name
Email
Phone
Name of the person with IDD needing TCM services
County
Help Us Better Serve You!
What MCO/KanCare Provider do you have?
Please select...
Aetna Better Health
HealthyBlue (January 2025)
Sunflower Health Plan
UnitedHealthcare
I do NOT have KanCare/Medicaid
Are you currently receiving Home & Community Based Services/IDD waiver
Please select...
Yes
No
I'm unsure
I am on the waiting list for services (funding)
Are you receiving any of the following services? (check all that apply)
Targeted Case Management
Personal Care Services/In-Home Support Services
Day Services
Residential Services
None (no services at this time)
Other
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