You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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Statistical Bulletin September 2022 | Statistical Bulletin September 2022 | 11/07/2022 |
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Statistical Bulletin August 2022 | Statistical Bulletin August 2022 | 11/07/2022 |
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30th Month September 2022 | 30th Month Financial Report FY 2023 through September 2022 | 11/04/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
Download | Number | Name | Effective Date |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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DDD-1651A | COBV Waiver Request (English) | 03/01/2018 |
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DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
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DD-099-D | Pre-PAS Screening Tool for Members At Least 12 Years Old | 03/01/2018 |
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CSA-1070A | Domestic Violence Housing Intervention Performance Measures | 02/01/2018 |
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DDD-1590A | Monthly Invoice Cover Sheet (English) | 02/01/2018 |
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CSE-1284A | Parent’s agreement to be bound by genetic test results (Eng/Spa) | 02/01/2018 |
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LCR-1040A | Health Self-Disclosure/Physician's Statement (English) | 01/01/2018 |
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LCR-1040A-S | Health Self-Disclosure/Physician's Statement (Spanish) | 01/01/2018 |
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DDD-1692A | Prevention and Support Instructor Recertification Packet (English) | 01/01/2018 |
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