Welcome to the WORK provider page. You will find manuals, forms, and training videos and materials.

If you encounter any problems with the forms, documents and videos, please reach out to the WORK program manager: Sherri Marney at sherri.marney@ks.gov or by phone at (785) 296-8009.

Below are a few manuals related to Working Healthy/WORK. The WORK Program Policy Manual contains policies and procedures related to WORK. This is a more comprehensive manual and contains statutes and regulations that impact WORK. There is also a WORK Self-Direction Policy Manual. This manual provides information to assists someone who is self-directing their WORK services. The Self-Employment Manual provides information that can helps someone who is self-employed or interested in self-employment.

• Work Program Policy Manual Rev 1-1-2025

Below are up-to-date forms and documents. These are for both MCOs and ILCs.

Referral Forms

• WORK Talking Points 10-2023

• WORK Referral Tool Rev 4-1-2023

Assessment Forms

• WORK Needs Assessment - Rev 1-1- 2025
• Comparison Worksheet Rev 1-1-2023
• DV-124V Rev 1-2019

Budget Forms

• WORK Budget Workbook 1-1-2025
• WORK Electronic Consent Statement 1-1-2022

Other Annual WORK Forms

• WORK Emergency Back Up Rev 1-1-2025 (Large Print)
• WORK Member Agreement Form 1-1-2025 (Large Print)
• WORK Change Addendum Rev 1-1-2023
• WORK Assistive Services Request Form

ILC Forms

These forms must be completed and sent to the WORK Program Manager before WORK ILC services can be provided.

• WORK ILC Providers List
• ILC Services Form rev 10-1-2023
• ILC Mandated Reporter Form 11-2013
• WORK ILC Acknowledgement of Program Policies 1-1-2020
• WORK ILC Qualifications and Responsibility Form Rev 1-1-2020

For ILC Billing

• ILC Services Form 10-1-2023

WORK Independent Living Counselor Training and Forms

The training is now available online!

All WORK Independent Living Counselors are required to take and pass (85%) this training curriculum.

Visit train.org/ks to download all the information you will need, register and take the course and exam. If you have questions, please contact Sherri Marney, the WORK Program Manager, at sherri.marney@ks.gov or (785) 296-8009.  

WORK Trainings

For training videos, please see the WORK Training page.