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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DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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DDD-2045A | DDD Member Councils | 12/04/2019 |
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DDD-2045A-S | Consejos de miembros de la DDD | 12/04/2019 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
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DDD-2063A | Ongoing Quarterly Progress Report (QPR) Plan of Care/Treatment Plan | 12/01/2020 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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DDD-2073A | Long Term Care / Home and Community Based Services Claims Submission Guide | 09/01/2020 |
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DDD-2076A | DDD Health Plan Care Management Referral (English) | 11/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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LCR-1063A-S | Petición Audiencia Sobre Denegación, Revocación o Suspensión de Certificación de Hogar de o Comunitario | 10/01/2020 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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LCR-1064A-S | Declaración de Entendimiento Solicitud de Certificación para HCBS | 03/01/2023 |
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LCR-1078A | OLCR Developmental Home Application Cover Page (English) | 04/01/2018 |
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LCR-1079A | Developmental Home Compliance Review | 09/01/2021 |
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LCR-1079B | Abbreviated Developmental Home Compliance Review | 11/01/2018 |
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LCR-1079C | Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions | 01/01/2019 |
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LCR-1080A | Licensing Investigation Template | 04/01/2018 |
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LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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