​AMERIGROUP,

UNITED HEALTHCARE & SUNFLOWER

TBI, FE, PD WAIVER

​​TIME CHANGES/CORRECTIONS

​​TIME CHANGES/CORRECTIONS

​AMERIGROUP,

UNITED HEALTHCARE & SUNFLOWER

TA WAIVER

please contact:

Bailey Greene, Program Coordinator

bailey@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

please contact:

Michelle Wollenberg, Program Coordinator

michelle@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

SUNFLOWER

IDD

please contact:

Michelle Wollenberg, Program Coordinator

michelle@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

AMERIGROUP & UNITED HEALTHCARE

IDD WAIVER

IMPORTANT:

Time changes may only be submitted by the Individual/Employer (person with a disability receiving services) OR their Parent/Guardian/Designated Representative (person directing services).

Time changes cannot be submitted by the Direct Support Worker and will not be accepted. 


All time adjustments must have the Parent/Guardian/Designated Representative signature (name on email and from Designated Representative's email address is acceptable). 
Therefore must be emailed, faxed or in person...no changes can be made over the phone.


Any changes made are only for a missing/incorrect clock in time OR clock out time.



NOTE: All fields with a RED * asterisk are required. 

AMERIGROUP & UNITED HEALTHCARE

IDD WAIVER

​AMERIGROUP,

UNITED HEALTHCARE & SUNFLOWER

TBI, FE, PD WAIVER

please contact:

Sarah Laing, Program Coordinator

sarah@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

please contact:

Bailey Greene, Program Coordinator

bailey@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

IMPORTANT:

Time changes may only be submitted by the Individual/Employer (person with a disability receiving services) OR their Parent/Guardian/Designated Representative (person directing services).

Time changes cannot be submitted by the Direct Support Worker and will not be accepted. 


All time adjustments must have the Parent/Guardian/Designated Representative signature (name on email and from Designated Representative's email address is acceptable). 
Therefore must be emailed, faxed or in person...no changes can be made over the phone.


Any changes made are only for a missing/incorrect clock in time OR clock out time.



NOTE: All fields with a RED * asterisk are required. 

please contact:

Sarah Laing, Program Coordinator

sarah@lifepatternsks.org

(T) 785-273-7189

​(F) 785-273-3186

​AMERIGROUP,

UNITED HEALTHCARE & SUNFLOWER

TA WAIVER

SUNFLOWER

IDD