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-2177A | Getting the Most from Your Pharmacy Benefits (English/Spanish) | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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DDD-2200A | Parents as Paid Providers (English/Spanish) | 02/01/2024 |
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DDD-2201A | Clinical Practice Guidelines (English) | 01/01/2024 |
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DDD-2203A | Daily Shift Log (English) | 05/01/2023 |
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DDD-2206A | Enhanced Behavioral Group Home Oversight Meeting Agenda (English) | 06/01/2023 |
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DDD-2207A | Quick Reference Guide - AHCCCS Eligibility Redeterminations (English/Spanish) | 06/01/2023 |
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DDD-2217A | Business Automobile Liability Waiver | 10/01/2023 |
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DDD-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction (English) | 08/01/2023 |
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DDD-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) (English) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1312A | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
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RSA-1312A-S | Autorización Para Divulgación De Información De Salud a RSA | 07/01/2019 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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RSA-1313A-S | Autorización de Divulgación de Registros de RSA | 05/01/2018 |
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RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
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RSA-1365A | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD and RSA | 03/01/2019 |
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RSA-1365A-LP | Authorization/Consent for Disclosure and Use of Confidential Information Between DDD And RSA (Large Print) | 09/01/2022 |
|
RSA-1365A-S | Autorización/Consentimiento Para Divulgación y Uso de Información Confidencial Entre DDD y RSA | 03/01/2019 |
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