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An illegal choice has been detected. Please contact the site administrator.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.
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| Number | Document Name | Effective Date |
|---|---|---|
| FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
| FAA-1642A | Continued Child Support Services (English/Spanish) | 07/01/2023 |
| FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
| CCA-1198A | Acknowledgement of Receipt and Understanding | 07/01/2023 |
| FAA-1415A-SLP | Illegal Drug Use Statement - Large Print (Spanish) | 07/01/2023 |
| FAA-1724A-LP | Application Signature Pages - Large Print (English) | 07/01/2023 |
| FAA-1513A | Time Saving Tips | 07/01/2023 |
| FAA-1819A | EBT Card Safety and Fraud Prevention | 07/01/2023 |
| GCI-1163A | FFY 2021 Correction of NonCompliance Guidance (English) | 07/01/2023 |
| VR-12.2 | 12.2 Maintenance | 06/30/2023 |
| Number | Document Name | Effective Date |
|---|---|---|
| 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 |
| DDD-2093A | DDD Behavioral Health Advocate Referral (English) | 03/01/2021 |
| DDD-2092A | DDD Behavioral Health Advocacy Plan | 03/01/2021 |
| ESA-1338A | Language Line Translation Services Utilized (English) | 03/01/2021 |
| DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
| UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
| DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services (English) | 02/01/2021 |
| FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
| RSA-1298A | Referral Form (English) | 02/01/2021 |
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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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