We provide a variety of services, including financial management services, to home and community-based services programs in Kansas. Our work ensures that older individuals and people with disabilities in the state can continue living in the community while they receive the care that they need at home.
Member/Employer Enrollment Packet
2023 Payment Schedule
Authorized User Designation
Change of Information
CONNECT Registration Consent
Designation of Surrogate Employer
Employer Online Enrollment Instructions
Employer Rate Information
Employment Separation Notice
Notice of Privacy Practices
PCA/Worker Rate Information
Participant Intake Reimbursement Request
2023 Payment Schedule
PCA/Worker Intake
PCA/Worker Enrollment Packet
Change of Information
Filing a Workers Compensation Claim
IRS W-4 Federal Withholding
K-4 State Withholding
Notice of Privacy Practices
PCA/Worker Online Enrollment Instructions
PCA/Worker Rate of Pay Information
PTO Request
Pay Selection & Direct Deposit Agreement
Payroll Information Worksheet
Request for Verification of Income
Stop Payment Request
2023 Payment Schedule
Agency/Vendor Engagement Packet
Agency/Vendor Payment Instructions
Agency/Vendor Payment Request – Excel
IRS W-9
New Vendor Setup