You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1513A-SLP | Consejos para Ahorrar Tiempo (Letra Grande) | 07/01/2023 |
LCR-1041A-S | Retiro Voluntario de la Solicitud de Licenciamiento o Cierre Voluntario de Licencia | 07/01/2023 |
FAA-1818A | Nutrition Assistance (NA) Medical Expense Deduction | 07/01/2023 |
FAA-1819A-S | Seguridad y Prevención del Fraude de Tarjetas EBT | 07/01/2023 |
FAA-1513A-SXLP | Consejos para Ahorrar Tiempo (Letra Extra Grande) | 07/01/2023 |
FAA-1818A-S | Deducción Estándar de Gastos Médicos de Asistencia Nutricional (NA) | 07/01/2023 |
CCA-0208A | Provider/Parent/Guardian's Agreement for Child Care Charges (English) | 07/01/2023 |
FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
FAA-1415A | Illegal Drug Use Statement (English) | 07/01/2023 |
EAA-1008A | E75 Diversity Builder Recognition Award Event flyer | 07/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1186A | Authority to Release Information | 11/01/2021 |
CCA-1235A | CCA Change Report | 11/01/2021 |
GCI-1098A | AzEIP Public Awareness Materials Order Form | 11/01/2021 |
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
DDD-1661A | DDD Tribal Health Program (THP) Equipment and Supplies Prior Authorization | 10/01/2021 |
SNA-1066A | Voluntary Participation Agreement (English) | 10/01/2021 |
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan (English) | 09/01/2021 |
LCR-1079A | Developmental Home Compliance Review | 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 |
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