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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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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DDD-0640A-S | How DDD Eligibility is Determined (Spanish) | 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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Draft Aging Plan 2023-2026 | Arizona State Plan on Aging 2023-2026 (English) | 10/03/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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DDD-2139A | Exhibitor DDD Volunteerism Community Fair | 10/01/2022 |
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AAA-1035A-NAVAJO | Arizona Long-Term Care Ombudsman Program (Navajo) | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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LCR-1005A | Notice of Inspection Rights | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-1406B | Career Preparation and Readiness - Six-Month Report | 06/01/2018 |
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DDD-1661B | Prior Authorization | 06/01/2018 |
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UB-296 | Report of Illness or Physical Disability (English) | 05/01/2018 |
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RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
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DDD-1404C | Employment Support Aide - Quality Assurance Review | 05/01/2018 |
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UB-296-S | Report of Illness or Physical Disability (Spanish) | 05/01/2018 |
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CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
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DDD-1405A | Transition to Employment - Quarterly Report | 05/01/2018 |
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