To enroll a new provider to your existing contract, please use the Existing Contract form.
To enroll as a Sunflower KanCare Medicaid provider, please go to the KMMS Provider Enrollment System to begin this process. From there, you can select which MCOs you would like to contract with.
Before you fill out the form below, please download all required documents and fill them out completely. Once you have completed your documents, be sure to finish the form below and upload your documents.
Who should we contact if we have questions about this contract request?
What is the mailing address we should use for contracting correspondence?
Items in the trash will be permanently removed after 30 days.
