Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)

All Medical Program Forms

Form Number Date Form Name File Format
F-8 3/23/2017 F-8 Kansas Medical Assistance Standards �----� PDF
MS-2156 4/11/2017 Medical Review of Emergency Services For Establishing SOBRA Eligibility �----� PDF
MS-2126 5/31/2017 Notification of Facility Admission/Discharge �----� PDF
R-1 01-13 Medical Subrogation Referral - Adoption �----� PDF
R-2 01-13 Medical Subrogation Referral - Injury �----� PDF