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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AAA-1188A | Long Term Care Ombudsman Manual | 03/23/2011 |
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DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
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CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
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AAA-1341A | Local Medicare Help | 01/01/2020 |
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GCI-1093A-S | Lo que debe esperarse de Intervención Temprana basada en equipo | 11/01/2022 |
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GCI-1085A-S | Lista de verificación para el examen de la visión | 07/01/2020 |
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DES-1254A-S | Lista de Programas y Servicios de DES | 03/01/2023 |
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UIT-1146A | Limited Power of Attorney (English) | 04/01/2018 |
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DES 1-01-34-01 | Limited English Profiency Procedures | 02/05/2021 |
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PPP-1122A | Limited English Proficiency (LEP) Poster (English) | 08/01/2020 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
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RSA-1313A | Authorization for Release of RSA Records | 05/01/2018 |
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DDD-0524A-S | Authorization for Release of Information (Spanish) | 08/01/2019 |
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DDD-0524A | Authorization for Release of Information (English) | 08/01/2019 |
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PPP-1127A-S | Authorization for Disclosure of Protected Health Information (Spanish) | 01/01/2018 |
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PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
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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 | Authorization for Disclosure of Health Information to RSA | 07/01/2019 |
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FAA-0060A | Authority to Release Student Information | 05/01/2023 |
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FAA-0059A | Authority to Release Records | 06/01/2023 |
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