You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1492A | Authorized Representatives - Rights & Responsibilities (English) | 07/01/2023 |
EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
FAA-0620C | Treatment Center Monthly Roster | 07/01/2023 |
GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
FAA-1724A-S | Application Signature Pages (Spanish) | 07/01/2023 |
FAA-1145A | Authorization to Share Information (English/Spanish) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
ESA-1306A | Employment Service Registration (English) | 07/01/2023 |
FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
CCA-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
DDD-2093A | DDD Behavioral Health Advocate Referral (English) | 03/01/2021 |
DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement - Large Print (Spanish) | 03/01/2021 |
ESA-1338A | Language Line Translation Services Utilized (English) | 03/01/2021 |
DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
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