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-1662A | Prior Authorization | 09/01/2017 |
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Statistical Bulletin August 2017 | Statistical Bulletin August 2017 | 09/26/2017 |
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SNA & ET State Plan 2017 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2017 | 10/12/2017 |
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SNA & ET State Plan 2018 | Supplemental Nutrition Assistance and Employment and Training Plan for Fiscal Year 2018 | 10/12/2017 |
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Statistical Bulletin September 2017 | Statistical Bulletin September 2017 | 10/17/2017 |
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30th Month Jun-2017 | 30th Month Report June Fiscal Year 2017 | 10/18/2017 |
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GCBVI 2017 | Governor's Council in Blindness and Visual Impairment (GCBVI) Annual Report for SFY 2017 | 10/26/2017 |
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HRP-1044A | CSFP Information Brochure | 11/01/2017 |
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PPP-1063A-S | HIPAA Privacy Complaints (Spanish) | 11/01/2017 |
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DDD-1691A | Article 9 Instructor Application Packet (English) | 11/01/2017 |
Download | Number | Name | Effective Date |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
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LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
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DDD-2087A | Documentation Guidelines: Occupational, Physical, and Speech-Language Pathology Therapy Services | 02/01/2021 |
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RSA-1298A | Referral Form (English) | 02/01/2021 |
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FAA-1796A | Affidavit of Visually Viewed Documentation | 02/01/2021 |
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RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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RSA-1396A | Secure Email Waiver | 02/01/2021 |
Download | Number | Name | Effective Date |
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Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
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SFMNP-WIC-FMNP | Seniors Farmer's Market Nutrition Program (SFMNP) and the WIC Farmer's Market Nutrition (FMNP) Program Policy and Procedure Manual | 03/03/2020 |
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30th Month January 2020 | 30th Month Financial Report FY 2020 through January 2020 | 03/19/2020 |
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Statistical Bulletin February 2020 | Statistical Bulletin February 2020 | 03/31/2020 |
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Statistical Bulletin March 2020 | Statistical Bulletin March 2020 | 04/15/2020 |
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30th Month February 2020 | 30th Month Financial Report FY 2020 through February 2020 | 04/23/2020 |
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30th Month March 2020 | 30th Month Financial Report FY 2020 through March 2020 | 06/05/2020 |
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SSBG Plan 2020-2021 | Social Services Block Grant Plan 2020-2021 | 07/01/2020 |
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Five Year Strategic Plan SFY 2020 - 2024 | Five Year Strategic Plan SFY 2020 - 2024 | 08/01/2020 |
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Tribal Consultation Report 2019 | Tribal Consultation Report 2019 | 08/01/2020 |
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