You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1440A-SXLP | Cash Assistance Benefit Limit Extension Request - Extra Large Print (Spanish) | 06/01/2023 |
FAA-1821A-SLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Large Print (Spanish) | 06/01/2023 |
GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
CCA-1105A | Tax Claimant Questionnaire | 06/01/2023 |
DDD-2206A | Enhanced Behavioral Group Home Oversight Meeting Agenda (English) | 06/01/2023 |
FAA-1821A-XLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (English) | 06/01/2023 |
CCA-1105A-S | Encuesta de reclamante fiscal | 06/01/2023 |
FAA-1111A-SXLP | Formulario para Verificar la Declaración del Participante (Letra extra grande) | 06/01/2023 |
FAA-1821A-SXLP | Elderly Simplified Application Project (ESAP) Nutrition Assistance Application - Extra Large Print (Spanish) | 06/01/2023 |
FAA-1459A | Hopi Tribal TANF Referral Notice | 06/01/2023 |
Number | Document 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 |
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 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 |
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
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