You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-1713A-S | DDD Customer Service Center (Spanish) | 06/01/2023 |
DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
DDD-1479A | Notice of Extension (English) | 06/01/2023 |
FAA-1439A-S | Self-Employment Income Statement (Spanish) | 06/01/2023 |
FAA-0155A | Recent Employment/Training Background | 06/01/2023 |
FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
FAA-0155B | Determination of Primary Wage Earner (PWE) | 06/01/2023 |
FAA-0155A-S | Antecedentes de Empleo o Capacitación Reciente | 06/01/2023 |
FAA-1439A-LP | Self-Employment Income Statement - Large Print (English) | 06/01/2023 |
FAA-0059A | Authority to Release Records | 06/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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