You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name |
Effective Date |
---|---|---|---|
|
VR-15.2 | 15.2 Informal Review | 06/30/2022 |
|
VR-2.4 | 2.4 Case Record Requirements | 06/30/2022 |
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VR-3.1 | 3.1 Referral, Orientation, Intake Interview and Application | 06/30/2022 |
SPP-APR-C FFY2020 | State Performance Plan / Annual Performance Report: Part C FFY 2020 | 06/28/2022 | |
|
Statistical Bulletin May 2022 | Statistical Bulletin May 2022 | 06/28/2022 |
|
Child Count 2021 | Child Count 2021 | 06/20/2022 |
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2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
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30th Month April 2022 | 30th Month Financial Report FY 2022 through April 2022 | 06/02/2022 |
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AAA-1340A-S | Arizona Family Caregiver Reimbursement Program (Spanish) | 06/01/2022 |
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WIO-1040A | Training Provider Assurances | 06/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1078A | OLCR Developmental Home Application Cover Page | 04/01/2018 |
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CSE-1171A | Affidavit of Financial Information (English/Spanish) | 04/01/2018 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
|
UB-113 | Combined-Wage Claim Withdrawal (English) | 03/01/2018 |
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UB-113-S | Combined-Wage Claim Withdrawal (Spanish) | 03/01/2018 |
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DD-099-A | Pre-PAS Screening Tool Ages 0 Through 2 Years and 10 Months Old | 03/01/2018 |
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DD-099-B | Pre-PAS Screening Tool for Members at Least 2 Years 10 Months Old, But Less than 6 Years Old | 03/01/2018 |
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UB-108 | Name and Address Change Request (English / Spanish) | 03/01/2018 |
|
DD-099-C | Pre-PAS Screening Tool Only for Members between 6 and 11 Years Old | 03/01/2018 |
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