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Download | Number | Name | Effective Date |
---|---|---|---|
|
VR-4.5.2 | 4.5.2 Self-Employment IPE Development, Technical Assistance and Business Plan Development | 03/31/2021 |
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VR-4.7 | 4.7 IPE Management and Amendments | 03/31/2021 |
|
VR-4.5.3 | 4.5.3 Self-Employment - Business Plan Review and Approval for VR Funding | 03/31/2021 |
|
VR-8.1 | 8.1 Assessments: General | 03/31/2021 |
|
VR-2.2 | 2.2 Address Confidentiality Program (ACP) | 03/31/2021 |
|
VR-8.2 | 8.2 Assessments: Audiology/Ear, Nose & Throat (ENT) | 03/31/2021 |
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VR-15.3 | 15.3 Mediation | 03/31/2021 |
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VR-15.4 | 15.4 Fair Hearing | 03/31/2021 |
|
VR-8.3 | 8.3 Assessments: Medical/Dental | 03/31/2021 |
|
VR-12.3 | 12.3 Reader Services | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2236A | Qualified Vendor Application Approval (English) | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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APS-1032A-S | Autorización para Divulgar Información sin cobertura de HIPAA | 08/01/2023 |
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DDD-2235A | Member Consent for the Use of Electronic Monitoring Devices Installed in Group Homes (English) | 09/01/2023 |
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DDD-1551A-S | Medallion Program - Order Form (Spanish) | 09/01/2023 |
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HRP-1027A | USDA Compliance Review | 09/01/2023 |
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FCT-1001A | Acknowledgment of Tribal Consultation Request | 09/01/2023 |
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CSE-1156A | Affidavit of Receipt of Direct Payments (English/Spanish) | 09/01/2023 |
|
DDD-2242A | Authorization for Transmission of Protected Health Information Via Unsecured Email | 09/01/2023 |
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