You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
CSE-1225A-S | Caretakers Raising Children (Spanish) | 02/01/2023 |
DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
30th Month December 2022 | 30th Month Financial Report FY 2023 through December 2022 | 01/31/2023 |
Number | Document Name | Effective Date |
---|---|---|
LCR-1079B | Abbreviated Developmental Home Compliance Review | 11/01/2018 |
SNA-1045A | Acceptable Proof of Good Cause | 11/01/2018 |
SNA-1045A-S | Prueba Aceptable de Causa Justificada | 11/01/2018 |
SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
SNA-1023A-S | Acuerdo Para Prácticas Laborales | 11/01/2018 |
SNA-1022A | Transportation-Related Expense | 11/01/2018 |
SNA-1022A-S | Exención De Gastos De Transporte | 11/01/2018 |
DD-524-FFS | Autorización para Entregar Información | 10/01/2018 |
CC-228 | Self-Employment Budget Record | 10/01/2018 |
CC-228-S | Registro Presupuestario de empleo propio | 10/01/2018 |
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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