You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download | Number | Name | Effective Date |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
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CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
Download | Number | Name | Effective Date |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
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CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
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CCA-1212A-S | Puesto de Servicio Directo (Formulario de certificación) | 07/01/2021 |
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CCA-1276A-S | Action Plan (Spanish) | 06/01/2021 |
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CCA-1276A | Action Plan (English) | 06/01/2021 |
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CCA-1287A-S | Registro de Simulacros de Evacuación de Emergencia | 05/01/2021 |
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CCA-1211B | Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts (English) | 04/01/2021 |
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CCA-1211B-S | Attachment to Request for Search of Background Checks (CCA-1211A-S) Disqualifying Acts (Spanish) | 04/01/2021 |
Download | Number | Name | Effective Date |
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30th Month March 2023 | 30th Month Financial Report FY 2023 through March 2023 | 05/02/2023 |
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Statistical Bulletin March 2023 | Statistical Bulletin March 2023 | 04/21/2023 |
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LIHEAP Plan FY23 | Low-Income Home Energy Assistance Program (LIHEAP) Plan | 04/19/2023 |
test-0004 | test report | 04/01/2023 | |
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30th Month February 2023 | 30th Month Financial Report FY 2023 through February 2023 | 03/31/2023 |
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SCSEP State Plan 2020-2023 | Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 | 03/15/2023 |
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Statistical Bulletin February 2023 | Statistical Bulletin February 2023 | 03/10/2023 |
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30th Month January 2023 | 30th Month Financial Report FY 2023 through January 2023 | 03/06/2023 |
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Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
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SPP-APR-C FFY2021 | State Performance Plan / Annual Performance Report: Part C FFY 2021 | 02/03/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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VR-9.4 | 9.4 Treatments: Occupational, Physical and Speech | 03/31/2021 |
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VR-12.3 | 12.3 Reader Services | 03/31/2021 |
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VR-15.4 | 15.4 Fair Hearing | 03/31/2021 |
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VR-2.5 | 2.5 Signature and Signature Date Requirements | 03/31/2021 |
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VR-7.5 | 7.5 Policy Exceptions to Allowable Services | 03/31/2021 |
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VR-12.4 | 12.4 Interpreting Services | 03/31/2021 |
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VR-15.5 | 15.5 Director Review of Fair Hearing Decisions | 03/31/2021 |
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VR-2.6 | 2.6 Duty to Report Abuse of a Minor | 03/31/2021 |
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VR-9.6 | 9.6 Treatments: Dental | 03/31/2021 |
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VR-12.5 | 12.5 Personal Assistance Services | 03/31/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
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GCI-1202A | Record Review Report/Prior Written Notice Technical Assistance Bulletin (English) | 03/01/2024 |
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DDD-1260A | Navigating the System (English) | 03/01/2024 |
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DDD-1260A-S | Navigating the System (Spanish) | 03/01/2024 |
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ARA-1001A | Arizona Rental Assistance Program - Families with Children (English/Spanish) | 03/01/2024 |
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ARA-1002A | Arizona Rental Assistance Program - Older Adults (English/Spanish) | 03/01/2024 |
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GCI-1191A | Recognizing Signs of Abuse/Neglect and Writing an Incident Report AzEIP Programmatic Meeting – November 2023 | 02/21/2024 |
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HRP-1023A | The Emergency food Assistance Program (English/Spanish) | 02/01/2024 |
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DDD-0465A-S | Arizona Long Term Care System (ALTCS) Member Handbook (Spanish) | 02/01/2024 |
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GCI-1188A | AzEIP Job Aid Service Coordinator Monthly Family Contact (English) | 02/01/2024 |
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GCI-1194A | You can be a Developmental Special Instructionist (English) | 02/01/2024 |
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