You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download |
Number |
Name | Effective Date |
---|---|---|---|
|
DDD-2093A | DDD Behavioral Health Advocate Referral | 03/01/2021 |
|
DDD-2094A | Guidelines for Building Positive Neighborhood Relationships | 04/01/2021 |
|
DDD-2094A-S | Pautas para la Construcción de Relaciones Vecinas Positivas | 05/01/2021 |
|
DDD-2098A | Hourly Nursing Assessment Tool (H-NAT) | 09/01/2021 |
|
DDD-2099A | Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan | 09/01/2021 |
|
DDD-2099A-S | Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) | 09/01/2021 |
|
DDD-2100A | DDD Electronic Visit Verification Paper Timesheet | 09/01/2021 |
|
DDD-2100A-S | Hoja de horas de verificación de visita electrónica de DDD | 09/01/2021 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
|
DDD-2101A-S | Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) | 09/01/2021 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1079C | Completion Guide for Forms LCR-1079A & LCR-1079B Developmental Home Compliance Review Instructions | 01/01/2019 |
|
LCR-1080A | Licensing Investigation Template | 04/01/2018 |
|
LCR-1080B | Licensing Investigation Procedural Tool | 04/01/2018 |
|
LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
|
LCR-1084A-S | Solicitud de Renovación o Certificado de HCBS Modificado para Proveedores Independientes | 02/01/2023 |
|
LCR-1085A | Adult Protective Services Records Check Request | 08/01/2021 |
|
LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
|
LCR-1087A | Child Developmental Certified Home Application Cover Page | 02/01/2021 |
|
LDU-1003A | Labor Dispute Information | 12/01/2022 |
|
LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
Stay up-to-date with news and updates delivered straight to your inbox
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