You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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DDD-0097A | Pre-Service Provider Orientation (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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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
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DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 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-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1078A | OLCR Developmental Home Application Cover Page | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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DDD-281 | Adult Developmental Home Agreement (English) | 04/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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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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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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