You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0059A-S | Autoridad para Divulgar Expedientes | 06/01/2023 |
|
FAA-1111A-LP | Participant Statement Verification Worksheet (Large Print) | 06/01/2023 |
|
DDD-1479A-S | Notice of Extension (Spanish) | 06/01/2023 |
|
FAA-1615A-S | Denuncie el fraude de la Asistencia Nutricional | 06/01/2023 |
|
FAA-1217A | Request for Verification of Godparent Specified Relative | 06/01/2023 |
|
FAA-0126A-S | Preguntas Frecuentes de Asistencia Nutricional | 06/01/2023 |
|
GCI-1161A-3 | Service Coordination Services Programmatic Meeting June 2023 | 06/01/2023 |
|
FAA-1788A-S | Proof of Eligibility Card (Spanish) | 06/01/2023 |
|
FAA-1111A-XLP | Participant Statement Verification Worksheet (Extra Large Print) | 06/01/2023 |
|
FAA-1055A-S | ¡HAGA CORRER LA VOZ! | 06/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
|
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 |
|
DDD-2102A-S | Electronic Visit Verification (EVV) Designee Attestation (Spanish) | 09/01/2021 |
|
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
|
CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
|
CSE-1129A-S | Electronic Payment Authorization (Spanish) | 09/01/2021 |
|
LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
|
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
Stay up-to-date with news and updates delivered straight to your inbox
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