Print an Application for Elderly and Persons
The application is listed below and is available in PDF format in different languages.
Please choose your language.
- KanCare Elderly and Disabled Application Brochure - (español)
- Helpful Hints - (español)Helpful Hints
- Extra Services Highlights - (español)Extra Services Highlights
After filling out your application, you need to send it to the KanCare Clearinghouse at P.O. Box 3599, Topeka, KS 66601, or you can fax your application to 1-844-264-6285.