Select the Organization Subtype from the drop down.
To Add a record:
Select Add
Select an address from the drop down
Prepopulated addresses were previously entered on the Address Information screen.
For each location, indicate all the counties that location serves
Mobile and home-based services should use the business office address
Any address may serve more than one County
If changes to the addresses in the drop down are needed, they must be entered at the Address Information screen
Check the Yes box if the address has Handicap Access. Leave the box blank if there is no access
Type in or select from the calendar the Effective Date. This is pre-populated from Requested Effective Date, but may be edited
Place a check mark next to each county served in Kentucky
Multiple Kentucky counties may be selected, and each will appear on a separate row of the grid
An option is provided for All Kentucky Counties
If the state is not Kentucky, county is defaulted to Out of State
Type in or select from the calendar the End Date if applicable. End Date cannot be prior to the Effective Date
Once complete, select Add To Grid to populate the grid with entered information, or Discard to clear the information and return to the grid.
To View/Change a record:
Under the Action column, select the Edit icon in the row or the record you wish to view/change.
Make desired changes to the fields.
Once complete, select Add To Grid to populate the grid with entered information, or Discard to clear the information and return to the grid.
To Delete a record:
Under the Action column, select the Delete icon in the row of the record you wish to delete.
A Confirm Delete pop up will ask, “Are you sure you want to delete the selected record?”
Select the No button to return to the screen without deleting.
Select the Yes button to delete the entire record and return to the screen/grid.
You cannot delete
Required Fields:
Please note that all fields marked with an asterisk (*) are required fields that must be populated in order to move forward. If they are left blank you will receive an error message
Special Characters:
The following Special Characters cannot be used in the situations below. Field properties will not allow the following characters in the box:
For First Name, Business Name, Other name (if any): | + \ '
For Last Name field: | + \ ', and numbers are not allowed
For Comment Boxes: < > ^ ~ ` + | \ / ¬ £
For Address fields: | + ! @ # $ ^ * ( ) ? / \ " < > & : ; _
If you copy and paste an excluded special character, an error message will display after clicking Save & Next
Remove excluded characters from pasted information or uploaded text in the document
Save & Next:
When finished, click Save & Next to save the information and proceed to the next page
Click Back to go to the previous screen without saving
Click Exit to return to the dashboard without saving
Note that if the information is not saved, you will lose the data on the current page
Additional Notes:
If an address is modified or deleted from the Address Information screen, the drop down in the County Served screen will update to reflect those changes.