Parent Consent for Release of Information and Medicaid Reimbursement - Kansas

Parent Consent for Release of Information and Medicaid Reimbursement - Kansas

Parent Consent for Release of Information and Medicaid Reimbursement is a legal document that was released by the Kansas Department of Education - a government authority operating within Kansas.

FAQ

Q: What is the Parent Consent for Release of Information form?
A: The Parent Consent for Release of Information form allows parents or legal guardians to authorize the release of their child's health information to Medicaid for reimbursement purposes.

Q: Why is the Parent Consent for Release of Information form necessary?
A: The form is necessary to ensure that Medicaid can access the child's health information in order to process and reimburse for eligible medical services.

Q: Who can complete the Parent Consent for Release of Information form?
A: The form can be completed by a parent or legal guardian of a child who is eligible for Medicaid reimbursement.

Q: What information is released with the Parent Consent for Release of Information form?
A: The form authorizes the release of the child's health information relevant to the medical services for which Medicaid reimbursement is being sought.

Q: Is there a fee for submitting the Parent Consent for Release of Information form?
A: No, there is typically no fee for submitting the form.

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Form Details:

  • Released on May 1, 2013;
  • The latest edition currently provided by the Kansas Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Kansas Department of Education.

Download Parent Consent for Release of Information and Medicaid Reimbursement - Kansas

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