You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
LCR-1084A-S | Application for Renewal or Amended HCBS Certificate for Independent Providers (Spanish) | 02/01/2023 |
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers (English) | 02/01/2023 |
LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
LCR-1080A | Licensing Investigation Template | 04/01/2018 |
LCR-1079C | Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions (English) | 01/01/2019 |
LCR-1079B | Abbreviated Developmental Home Compliance Review (English) | 11/01/2018 |
LCR-1079A | Developmental Home Compliance Review (English) | 09/01/2021 |
LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
DDD-2083A | Voluntary Withdrawal Form - Large Print (English) | 09/01/2024 |
DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
DDD-2069A-S | DDD Eligibility Packet (Spanish) | 01/01/2025 |
DDD-2069A | DDD Eligibility Packet (English) | 01/01/2025 |
DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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