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-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide (English) | 10/01/2021 |
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DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
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DDD-2113A-S | DDD-EVV Member Contingency / IP Model Back-up Plan (Spanish) | 01/01/2022 |
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DDD-2218A | Debarment, Suspension, Ineligibility, And Voluntary Exclusion Lower Tier Covered Transaction (English) | 08/01/2023 |
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GCI-1168A | Decision Tree for Child Indicator Summary Rating Discussions | 08/01/2023 |
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GCI-1168A-S | Decision Tree for Child Indicator Summary Rating Discussions (Spanish) | 08/01/2023 |
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DDD-2292A | Decision-Making for Adults (English) | 05/01/2024 |
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DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
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PAD-588-PDS | Decisiones sobre el cuidado de su salud | 11/01/2011 |
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PAD-588-PD | Decisions About Your Health Care | 11/01/2011 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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AAA-1174A | SHIP/SMP Volunteer Application | 02/01/2009 |
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CCA-0218A | Sign-In/Sign-Out Record (English) | 10/01/2019 |
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CCA-0218B | Sign-In/Sign-Out Record (Extended Version) | 10/01/2019 |
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CCA-0218A-S | Sign-In/Sign-Out Record (Spanish) | 10/01/2019 |
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SNA-1012A | SNA E&T Referral to Provider | 11/01/2018 |
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SNA-1012AS | SNA E&T Referral to Provider (Spanish) | 11/01/2018 |
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AG-031-N | Social Service Report and Instructions for Non-Registered Services | 08/01/2012 |
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AG-031-R | Social Service Report and Instructions for Registered Services | 03/01/2010 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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