You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
---|---|---|---|
|
UIB-1263A-S | Request for Overpayment Waiver (Spanish) | 04/01/2023 |
|
DDD-1742C | Metabolic Low Protein Foods Ordering Form Vendor - PKU Perspectives (English) | 04/01/2023 |
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AAA-1199A | SHIP/SMP Client Contact | 04/01/2023 |
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CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 04/01/2023 |
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DDD-1742D | Metabolic Low Protein Foods Ordering Form Vendor - Ener-G Foods, Inc (English) | 04/01/2023 |
|
CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 04/01/2023 |
|
LCR-1051A | Permission for Transfer of Record | 04/01/2023 |
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DDD-2193A | Navigating the System Promotion Flyer (English) | 04/01/2023 |
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DDD-1742E | Metabolic Low Protein Foods Ordering Form Vendor - Cambrooke Foods (English) | 04/01/2023 |
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LCR-1051A-S | Permiso Para Transferir el Archivo | 04/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
SNA-1066A | Voluntary Participation Agreement | 10/01/2021 |
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DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
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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-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
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CSE-1129A | Electronic Payment Authorization (English) | 09/01/2021 |
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DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
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CSE-1129A-S | Electronic Payment Authorization (Spanish) | 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 |
|
DDD-2102A | Electronic Visit Verification (EVV) Designee Attestation (English) | 09/01/2021 |
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