You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
FAA-1410A-S | Grant Diversion Script and Applicant Agreement (Spanish) | 07/01/2023 |
FAA-1825A | Elderly Simplified Application Project (ESAP) Flyer (English) | 07/01/2023 |
PPP-1136A | Health Insurance Portability and Accountability Act of 1996 - Business Associate Agreement (English) | 07/01/2023 |
FAA-1182A | AHCCCS Fraud Prevention Determination Authorization | 07/01/2023 |
FAA-1724A | Application Signature Pages (English) | 07/01/2023 |
CCA-1190A | Tribal New Child Care Referral | 07/01/2023 |
FAA-1410A-LP | Grant Diversion Script and Applicant Agreement - Large Print (English) | 07/01/2023 |
FAA-1825A-S | Elderly Simplified Application Project (ESAP) Flyer (Spanish) | 07/01/2023 |
FAA-1410A-SLP | Grant Diversion Script and Applicant Agreement - Large Print (Spanish) | 07/01/2023 |
VR-12.1 | 12.1 Transportation Services | 06/30/2023 |
Number | Document Name | Effective Date |
---|---|---|
ESA-1338A | Language Line Translation Services Utilized (English) | 03/01/2021 |
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 |
DDD-2092A-S | Plan de Defensa de la Salud Conductual de la DDD | 03/01/2021 |
RSA-1298A-S-LP | Referral Form - Large Print (Spanish) | 02/01/2021 |
LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services (English) | 02/01/2021 |
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
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