You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
CCA-0208A-S | Provider/Parent/Guardian's Agreement for Child Care Charges (Spanish) | 07/01/2023 |
FAA-1410A | Grant Diversion Script and Applicant Agreement | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
ESA-1306A | Employment Service Registration | 07/01/2023 |
GCI-1163A | FFY 2021 Correction of NonCompliance Guidance (English) | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
CCA-0024A | Employment and Wage Verification Statement (English) | 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 |
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 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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