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-2094A | Guidelines for Building Positive Neighborhood Relationships | 04/01/2021 |
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DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
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DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
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DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
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DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
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DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
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DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
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DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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LDU-1011A-S | Información importante sobre conflictos laborales | 06/01/2022 |
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OEO-1005A | Limited English Proficiency (LEP) Annual Monitoring Report Requirements Checklist | 01/01/2023 |
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OEO-1011A | One-Stop Centers Monitoring Checklist for ADA Compliance | 07/01/2020 |
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PAU-592 | Data Disclosure Information and Fee Schedule | 04/01/2018 |
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PPP-1063A | HIPAA Privacy Complaints (English) | 05/01/2018 |
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PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 11/01/2017 |
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PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
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PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
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PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
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PUR-1036A | Participation in Boycott of Israel | 08/01/2023 |
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