Add or Update Email Address

KanCare Provider Enrollment and Changes: Providers must use the Kansas Modular Medicaid System (KMMS) Provider Enrollment Wizard to update their information for any or all of the Medicaid fee-for-service (FFS) and managed-care organization (MCOs) health plans.

Medicare or Ambetter Add or Update Email Address

Add or update email address for: * Ambetter (Health Insurance Marketplace) Medicare (Allwell / Wellcare)

Group/Facility Name *

Tax ID # *

Group NPI # *

New Email Address Update Existing Email Address

Email Address *

Email Name * Please enter the first and last name of the person associated with the email address.

Role * Practitioner Office Staff Other

If 'Other', please explain below.

Update Requested By:

First Name *

Last Name *

Contact Email *

Contact Phone *