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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FAA-1410A-SXLP | Acuerdo de Solicitante y Guión de Desvío de Subvención (Letra Extra Grande) | 07/01/2023 |
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FAA-1513A-LP | Time Savings Tips (Large Print) | 07/01/2023 |
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FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
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FAA-1714A | Mid Approval Contact - Lobby (English) | 07/01/2023 |
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FAA-0620D | Supplemental Pages for the Treatment Center Monthly Roster | 07/01/2023 |
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CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
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FAA-1714A-S | Mid Approval Contact - Lobby (Spanish) | 07/01/2023 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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DDD-0308A | Individual Emergency Information - Residential | 07/01/2023 |
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LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
Download | Number | Name | Effective Date |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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LCR-1005A-S | Notice of Inspection Rights (Spanish) | 10/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
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LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
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DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
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DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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AAA-1316A | SNAP-O Partnership | 04/01/2019 |
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UIT-1191A | Bulk UI Tax Rate Request Process and Information | 04/01/2019 |
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CCA-1253A | Choosing Quality Child Care (English/Spanish) | 04/01/2019 |
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FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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UIT-1190A | UI Tax Online Reporting | 03/01/2019 |
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FAA-1700A | SAW Contact Card | 02/01/2019 |
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DDD-1945A | Support Coordination and You (English) | 01/01/2019 |
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DDD-1945A-S | Support Coordination and You (Spanish) | 01/01/2019 |
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