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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DDD-2089A-SLP | DDD Person Centered Service Plan - Large Print (Spanish) | 01/01/2024 |
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DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
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DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
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DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
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DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
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DDD-2094A | Guidelines for Building Positive Neighborhood Relationships | 04/01/2021 |
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DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
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DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 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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DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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PUR-1037A | Forced Labor of Ethnic Uyghurs Ban | 08/01/2023 |
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RRP-1015A | Statement of Understanding | 10/01/2023 |
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RRP-1017A | Program Participants Application for Recertification (English) | 11/01/2023 |
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RRP-1017A-S | Program Participants Application for Recertification (Spanish) | 11/01/2023 |
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RRP-1018A | Client Employment & Income Attestation Form (English) | 11/01/2023 |
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RRP-1018A-S | Client Employment & Income Attestation Form (Spanish) | 11/01/2023 |
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RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
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RSA-1298A | Referral Form (English) | 02/01/2021 |
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