You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
GCI-1033A | Transition Conference Summary | 05/01/2023 |
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GCI-1037A-S | Aviso o Recomendación de la Agencia de Educación Pública (PEA) | 05/01/2023 |
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FAA-0574A-SLP | Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Grande) | 05/01/2023 |
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FAA-1004A-XLP | Designation of EBT Alternate Card Holder - Extra Large Print (English) | 05/01/2023 |
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FAA-1799A | Drug/Alcohol Treatment Center Training Acknowledgment | 05/01/2023 |
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CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
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FAA-0412A-SLP | Change Report - Large Print (Spanish) | 05/01/2023 |
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GCI-1033A-S | Resumen de la Conferencia de Transición | 05/01/2023 |
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FAA-1004A-SLP | Designation of EBT Alternate Card Holder - Large Print (Spanish) | 05/01/2023 |
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DDD-0211A | Home Modifications Service Referral and Request (English) | 05/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
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CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
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DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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SNA-1066A | Voluntary Participation Agreement | 10/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
|
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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