You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
DDD-2104A | Member Interdisciplinary Team Summary | 07/01/2021 |
DDD-2106A | Member's Circles of Support | 06/01/2021 |
DDD-2106A-S | Círculos de Apoyo del Miembro | 06/01/2021 |
DDD-2107A | What Works and What Doesn't Work Worksheet | 06/01/2021 |
DDD-2107A-S | Hoja de Trabajo Sobre lo que Funciona y lo que no Funciona | 06/01/2021 |
DDD-2113A | DDD-EVV Member Contingency / IP Model Back-up Plan (English) | 01/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 05/01/2018 |
PPP-1127A | Authorization for Disclosure of Protected Health Information (English) | 01/01/2018 |
PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
PUR-1037A | Forced Labor of Ethnic Uyghurs Ban | 08/01/2023 |
RRP-1015A | Statement of Understanding | 10/01/2023 |
RRP-1015A-Arabic | Statement of Understanding (Arabic) | 08/01/2023 |
RRP-1015A-Burmese | Statement of Understanding (Burmese) | 08/01/2023 |
RRP-1015A-Dari | Statement of Understanding (Dari) | 08/01/2023 |
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