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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1783A | Habilitation Outcome Strategies (English) | 07/01/2023 |
| FAA-1724A-SLP | Application Signature Pages- Large Print (Spanish) | 07/01/2023 |
| PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
| CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
| LCR-1041A | Voluntary Withdrawal of Application for Licensure or Voluntary Closure of License | 07/01/2023 |
| DDD-1783A-S | Habilitation Outcome Strategies (Spanish) | 07/01/2023 |
| FAA-1724A-SXLP | Application Signature Pages- Extra Large Print (Spanish) | 07/01/2023 |
| CCA-1198A-S | Acuse de Recibo y Entendimiento | 07/01/2023 |
| FAA-1513A-XLP | Time Savings Tips (Extra Large Print) | 07/01/2023 |
| LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
| CSE-1168A | Agreement to Accept Service by Mail - TANF Workshops | 09/01/2021 |
| CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
| CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
| DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
| DDD-2099A-S | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (Spanish) | 09/01/2021 |
| DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
| DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
| CSE-1281A | Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) | 09/01/2021 |
| DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
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Arizona State Resources
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
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