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-1512A-LP | Acknowledgement of Publications/Information (Large Print) | 08/01/2023 |
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CCA-1318A | Arizona Child Care Assistance Provider Decision Tool | 08/01/2023 |
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DDD-1431A | Attendant Care/Housekeeping Service Monitoring/Supervision (English) | 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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DDD-1512A-SLP | Reconocimiento de Publicaciones e Información (Letra Grande) | 08/01/2023 |
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UC-522-FF | Adjustment Report (English) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
Download | Number | Name | Effective Date |
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SNA-1005A-S | Employment and Career Development Plan (ECDP) (Spanish) | 03/01/2023 |
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CCA-1311A | Arizona Education Workforce Scholarship Program Application (English) | 03/01/2023 |
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LCR-1064A | Statement of Understanding-Application for HCBS Certification | 03/01/2023 |
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CCA-1311A-S | Arizona Education Workforce Scholarship Program Application (Spanish) | 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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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-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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DDD-2174A | Request for Restriction of Protected Health Information (PHI) | 02/01/2023 |
Download | Number | Name | Effective Date |
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CCA-1288A | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (English) | 07/01/2021 |
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CCA-1288A-S | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (Spanish) | 07/01/2021 |
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DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
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AAA-1283A | Adult Protective Services (APS) (English) | 05/01/2021 |
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CCA-1284A-S | Encontrar Cuidado Infantil en el que Pueda Confiar | 04/01/2021 |
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ESA-1362SA-S | Programe una cita virtual | 04/01/2021 |
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ESA-1362A | Virtual Appointment Scheduler | 04/01/2021 |
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DDD-2084A-S | Todos tienen derecho a estar seguros (Adulto) | 04/01/2021 |
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DDD-2084A | Everyone has the right to be safe (Adult) | 04/01/2021 |
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DDD-2084B-S | Todos tienen derecho a estar seguros (Niño) | 04/01/2021 |
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