You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-1440A-LP | Cash Assistance Benefit Limit Extension Request - Large Print (English) | 06/01/2023 |
|
FAA-0126A | Nutrition Assistance Frequently Asked Questions | 06/01/2023 |
|
FAA-0260A | Claim of Sexual Assault or Incest | 06/01/2023 |
|
FAA-1439A-XLP | Self-Employment Income Statement - Extra Large Print (English) | 06/01/2023 |
|
FAA-1440A-XLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (English) | 06/01/2023 |
|
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
|
GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
|
FAA-0260A-S | Denuncia de Agresión Sexual o Incesto | 06/01/2023 |
|
FAA-1111A | Participant Statement Verification Worksheet | 06/01/2023 |
|
FAA-0837A | Authorization to Open an IDA | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
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 | 09/01/2021 |
|
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
|
DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
|
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
|
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
|
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
|
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
Stay up-to-date with news and updates delivered straight to your inbox
Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification