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MAP - 414 To Be used for New Program Requests and Reporting Existing Program Changes

This form is to be used by ALL nurse aide training programs EXCEPT those operated by KCTCS and for secondary students.

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On 4/21/2020 due to staffing shortages, the Cabinet for Health and Family Services, Department for Medicaid Services, received direction from Director Lee Guice to temporarily remove all barriers during the COVID-19 State of Emergency. Once the State of Emergency is lifted, programs approved through the self-attestation process will be contacted for potential site visits and how or if they are allowed to proceed.
1. Please answer the following questions
Type of Request *This question is required.
Type of Training Program *This question is required.
This question requires a valid email address.