You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
|
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
|
VR-1018A-LP | Vocational Rehabilitation (VR) (Large Print) | 09/01/2021 |
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VR-1018A-SLP | Rehabilitación Vocacional (VR) (Letra Grande) | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
|
ESA-1350A | Migrant and Seasonal Farmworkers (English/Spanish) | 09/01/2021 |
|
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
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DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
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DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1224A | Fast Pass DCS Referral (English) | 03/01/2024 |
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GCI-1157A | Record Review Report / Prior Written Notice (English) | 03/01/2024 |
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GCI-1021P-S | Individualized Family Service Plan with PCSP Supplement (Spanish) | 03/01/2024 |
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FAA-0098A-S | Hearing Request (Spanish) | 03/01/2024 |
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FAA-0098A | Hearing Request (English) | 03/01/2024 |
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DDD-2121A | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (English) | 03/01/2024 |
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CCA-0225A | Verification of Unable\Unavailable Status (English) | 03/01/2024 |
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DDD-2121A-S | Person-Centered Service Plan Supplement to the Individualized Family Service Plan (Spanish) | 03/01/2024 |
|
GCI-1021P | Individualized Family Service Plan with PCSP Supplement (English) | 03/01/2024 |
|
FAA-0098A-LP | Hearing Request - Large Print (English) | 03/01/2024 |
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