You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
VR-1048A | About AZ Hires Vets! | 08/01/2023 |
RRP-1015A-Russian | Statement of Understanding (Russian) | 08/01/2023 |
RRP-1015A-S | Statement of Understanding (Spanish) | 08/01/2023 |
DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
RRP-1015A-Swahili | Statement of Understanding (Swahili) | 08/01/2023 |
DDD-1431A | Attendant Care/Housekeeping Service Monitoring/Supervision (English) | 08/01/2023 |
APS-1032A | Authorization to Release Non-HIPAA Information Form (English) | 08/01/2023 |
RRP-1015A-Tigrinya | Statement of Understanding (Tigrinya) | 08/01/2023 |
FAA-1125A | Tribal/FAA - Turn Around Document (TAD) (English) | 08/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
CCA-0041A | Fair Hearing Request | 11/01/2021 |
CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
CCA-1186A | Authority to Release Information | 11/01/2021 |
CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
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