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Documents Center
Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Find a Document
- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
- You can click on the column headers to sort the search results.
| Number | Document Name | Effective Date |
|---|---|---|
| LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
| DDD-2176A-S | Residency Agreement (Spanish) | 03/01/2023 |
| LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
| DDD-1747A | Assisted Living Facility (ALF) Residential Facility (English) | 03/01/2023 |
| DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
| DDD-1883A | What is PASRR? | 02/01/2023 |
| DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
| DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
| DDD-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
| DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
| DDD-1530A-SLP | Managed Risk Agreement Services and/or Placement - Large Print (Spanish) | 03/01/2021 |
| DDD-2090A | Program Integrity Requirements Verification | 03/01/2021 |
| LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
| DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services (English) | 02/01/2021 |
| LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
| DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy (English) | 01/01/2021 |
| DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
| DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
| DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
| Number | Document Name | Effective Date |
|---|---|---|
| 30th Month March 2021 | 30th Month Financial Report FY 2021 through March 2021 | 10/27/2021 |
| 30th Month April 2021 | 30th Month Financial Report FY 2021 through April 2021 | 10/27/2021 |
| 30th Month May 2021 | 30th Month Financial Report FY 2021 through May 2021 | 10/27/2021 |
| 30th Month June 2021 | 30th Month Financial Report FY 2021 through June 2021 | 10/27/2021 |
| 30th Month July 2021 | 30th Month Financial Report FY 2022 through July 2021 | 10/27/2021 |
| 30th Month August 2021 | 30th Month Financial Report FY 2022 through August 2021 | 10/27/2021 |
| 30th Month September 2021 | 30th Month Financial Report FY 2022 through September 2021 | 10/27/2021 |
| FY2023-Budget | Fiscal Year 2023 DES Budget Request | 09/01/2021 |
| DES Welfare-2021 | SFY 2021 Annual Welfare Reform Report | 09/01/2021 |
| 6AAC5-Article-75 | Five-Year Review Report - Social Services | 07/29/2021 |
| Number | Document Name | Effective Date |
|---|---|---|
| GCI-1201A-RA-PD | Supporting Families with Infants in the Neonatal Intensive Care Unit AzEIP Programmatic Meeting - January 2024 | 03/22/2024 |
| RSA-1234A-LP | Where Are You in the VR Process? - Large Print (English) | 03/01/2024 |
| GCI-1191A | Recognizing Signs of Abuse/Neglect and Writing an Incident Report AzEIP Programmatic Meeting – November 2023 | 02/21/2024 |
| DDD-2200A | Parents as Paid Providers (English/Spanish) | 02/01/2024 |
| HRP-1023A | The Emergency food Assistance Program (English/Spanish) | 02/01/2024 |
| GCI-1188A | AzEIP Job Aid Service Coordinator Monthly Family Contact (English) | 02/01/2024 |
| DDD-2244A | DDD Eligibility for Children Birth to Three Years (English/Spanish) | 02/01/2024 |
| AzEIP-TAB-01302024 | Family Out of State for Extended Period of Time | 01/29/2024 |
| DCS-1366A | AZCARES Customer Portal Access Guide (English) | 01/01/2024 |
| DCS-1366A-S | AZCARES Customer Portal Access Guide (Spanish) | 01/01/2024 |
Arizona State Resources
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
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