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-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) (English) | 08/01/2023 |
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DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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RSA-1463A | Windmills Disability Awareness Training (English) | 08/01/2023 |
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DDD-1512A-S | Reconocimiento de Publicaciones e Información | 08/01/2023 |
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DDD-2233A | RFQVA Assurances and Submittal Attestation (English) | 08/01/2023 |
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GCI-1161A-4 | Family Delay AzEIP Programmatic Meeting - August 2023 | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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GCI-1168A-S | Decision Tree for Child Indicator Summary Rating Discussions (Spanish) | 08/01/2023 |
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DDD-1164A | Attendant Care Progress Notes (English) | 08/01/2023 |
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DDD-1512A-LP | Acknowledgement of Publications/Information (Large Print) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-2172A | Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information | 02/01/2023 |
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CSE-0016A | Certified Public Expenditures Statement | 01/01/2023 |
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RSA-1298B | Blind/Visually Impaired Deaf/Hard of Hearing Summer Youth Program Referral | 01/01/2023 |
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