You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
GCI-1161A-4 | Family Delay AzEIP Programmatic Meeting - August 2023 | 08/01/2023 |
GCI-1168A-S | Decision Tree for Child Indicator Summary Rating Discussions (Spanish) | 08/01/2023 |
DDD-2222A | Background Check Authorization for Qualified Vendor Application (RFQVA) (English) | 08/01/2023 |
RRP-1015A-Haitian Creole | Statement of Understanding (Haitian Creole) | 08/01/2023 |
DDD-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
RRP-1015A-Kibembe | Statement of Understanding (Kibembe) | 08/01/2023 |
APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
UC-522-FF | Adjustment Report (English) | 08/01/2023 |
RRP-1015A-Kinyarwanda | Statement of Understanding (Kinyarwanda) | 08/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
CSE-1165A | Acknowledgment Tracking Form | 11/01/2022 |
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
LCR-1054A | Initial Application Worksheet | 10/01/2022 |
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
Number | Document Name | Effective Date |
---|---|---|
UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
DDD-1954-S | Participación en DDD | 07/01/2019 |
GCI-1081A | Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) | 06/01/2019 |
DDD-0517A | Working With You (English) | 06/01/2019 |
DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
FAA-1375A | Nutrition Assistance Posters | 04/01/2019 |
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