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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Document Name | Effective Date |
|---|---|---|---|
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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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2020 Child Count, Settings, Exits, and Dispute Resolution | 2020 Child Count, Settings, Exits, and Dispute Resolution | 06/20/2022 |
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2024 AzEIP Market Rate Study | 2024 AzEIP Market Rate Study, by Milliman | 07/05/2024 |
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ADE-1012A | House Bill 2137 Technical Assistance Bulletin September 2024 (English) | 09/01/2024 |
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AzEIP-TAB-01062023 | DDD Eligibility Application for Children with DCS Technical Assistance Bulletin (English) | 01/06/2023 |
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AzEIP-TAB-01302024 | Family Out of State for Extended Period of Time | 01/29/2024 |
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AzEIP-TAB-03282023 | Address Confidentiality Program (ACP) Technical Assistance Bulletin (English) | 03/28/2023 |
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AzEIP-TAB-04042024 | AzEIP Cover Sheet for DDD Application for Eligibility Determination Technical Assistance Bulletin | 04/04/2024 |
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AzEIP-TAB-05012023 | Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin | 05/01/2023 |
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AzEIP-TAB-05112023 | Transition Technical Assistance Bulletin (English) | 05/11/2023 |
| Download | Number | Document Name | Effective Date |
|---|---|---|---|
|
GCI-1020A | Authorization to Disclose Protected Health Information | 05/01/2020 |
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GCI-1020AS | Authorization to Disclose Protected Health Information (Spanish) | 06/01/2020 |
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GCI-1021A | Individualized Family Service Plan - Packet | 04/01/2022 |
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GCI-1021A-S | Plan Individualizado de Servicio Familiar - Paquete | 04/01/2022 |
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GCI-1021C | Child Indicators Summary | 03/01/2019 |
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GCI-1021C-S | Resumen de los Indicadores del Niño/a | 03/01/2019 |
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GCI-1021E | Individualized Family Service Plan (IFSP) Transition | 04/01/2022 |
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GCI-1021E-S | Plan Individualizado De Servicio Familiar (IFSP) Transición | 04/01/2022 |
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GCI-1021G-J | Individualized Family Service Plan (Addendum) - Packet | 12/01/2018 |
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GCI-1021G-J-S | Plan Individualizado de Servicio Familiar (Adenda) - Paquete | 12/01/2018 |