You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0024A | Employment and Wage Verification Statement (English) | 11/01/2021 |
CCA-1235A | CCA Change Report | 11/01/2021 |
CCA-1186A | Authority to Release Information | 11/01/2021 |
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
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