Submit a Pay Rate Change

Providers may submit a Pay Rate Change directly to our staff in order for your Pay Rate to be adjusted into Kinder Systems and Amended to the Current Agreement.  

When submitting this request, please ensure the following information is provided:

*Provider Details
*Authorized Representative 
*Pay Rate Change
*New Provider Daily Pay Rate
*Supporting Documents (New Published Pay Rates)

By submitting this form, you are requesting a change in the Providers Daily Pay Rate. All Requests are subject to review and verification.

* Pay Rate Changes are not retroactive
*Incomplete requests may delay processing 

Provider Daily Rate

Provider Details

Authorized Representative

Pay Rate Change

NEW Published Daily Pay Rate (0-99) (If field is not used - 0)

​​​​I certify that the information provided is accurate to the best of my knowledge.

You can upload a maximum of 5 files, each up to 48MB. Supported files include image, .doc, .dot, .wbk, .docx, .docm, .dotx, .dotm, .docb, .xls, .xlt, .xlm, .xlsx, .xlsm, .xltx, .xltm, .ppt, .pot, .pps, .pptx, .pptm, .potx, .potm, .ppam, .ppsx, .ppsm, .sldx, .sldm, .pdf.

Submit Another Payment Inquiry

After Submission

After submission, your inquiry is forwarded to our team and assigned to a dedicated Provider Coordinator who will begin processing it.

Processing 

Our support team responds to all changes within 48 hours. For urgent issues, contact our hotline. Approved Pay Rates are updated in Kinder Systems.

Confirmation

Providers may receive confirmation once the Pay Rate has been updated, or be contacted if additional information is needed.