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KHPA Home - Medicaid and HealthWave - Medical Assistance Program - Apply for Assistance

How to apply for Medical Coverage

You must complete and submit an application to receive medical coverage. Use the guide below to get an application for you and your family.

For Families and Children

Children
Pregnant Women
Families With Children

To request a HealthWave application, call:
1-800-792-4884

To pick up an application, go to your local SRS office or visit: http://www.srskansas.org/locations.htm for a list of access sites.

To download and print off an application, click here.

 

For Elderly and Persons With Disabilities

Elderly
Adults With Disabilities
Children With Disabilities

To request an application, call:
1-888-369-4777

To pick up an application, go to your local SRS office or visit: http://www.srskansas.org/locations.htm for a list of access sites.

To download and print off an application, click here.

 

If you are unsure which application to use, call toll free at: 1-888-369-4777.

For additional services, please visit SRS Kansas.

 

 

 

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If you require an ADA accommodation for an event or program sponsored by the Kansas Health Policy Authority/HealthQuest, requests should be made at least 72 hours in advance of the event. To arrange ADA accommodations for KHPA events, please contact Ann Halferty at 785-296-8347. For HealthQuest events, please contact Julie Faust at 785-296-5624.
Copyright 2009 - The Kansas Health Policy Authority
900 North, Landon State Office Building - 900 SW Jackson Street - Topeka, KS 66612
Phone: (785) 296-3981 - Fax: (785) 296-4813