You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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GCI-1043A | Developmental Evaluation Report | 04/01/2023 |
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DDD-1693A | Prevention and Support New Instructor Clinic Packet (English) | 04/01/2023 |
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EAP-1007A-S | Declaración del Solicitante de No Tener Ingresos | 04/01/2023 |
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LCR-1056A-S | Declaración de Entendemiento del Solicitante par Hogar de Desarrollo para Niño o Adulto | 04/01/2023 |
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DDD-1659A | Agency With Choice: Partnership Agreement (English) | 04/01/2023 |
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WIO-1130A | Migrant and Seasonal Farmworker Resources Wallet Card | 04/01/2023 |
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GCI-1043A-S | Informe De Evaluación Del Desarrollo | 04/01/2023 |
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CCA-1175A-S | Autorización Para Operar un Servicio de Cuidado de Niños | 04/01/2023 |
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DDD-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
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SNA-1075A | Need Help Finding A Job | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
SNA-1066A | Voluntary Participation Agreement | 10/01/2021 |
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DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
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DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
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DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
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CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
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DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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