You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
CCA-1288A-S | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (Spanish) | 07/01/2021 |
CCA-1212A-S | Direct Service Position (Certification form) (Spanish) | 07/01/2021 |
CCA-1288A | Roadmap to Licensed Centers and Group Homes contracting and maintaining compliance with the DES contract (English) | 07/01/2021 |
CCA-1291A | Empower Program (English) | 08/01/2021 |
CCA-1293A | Child Care at Residential Homeless/Domestic Violence Shelter | 08/01/2021 |
CCA-1294A | Provider Registration Agreement Tutorial (English) | 09/01/2021 |
CCA-1294A-S | Provider Registration Agreement Tutorial (Spanish) | 09/01/2021 |
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |
CCA-0041A | Fair Hearing Request | 11/01/2021 |
CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
Number | Document Name | Effective Date |
---|---|---|
CCA-1211A | Request for Search of Background Checks (English) | 05/01/2022 |
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
CCA-1140A-S | Direct Deposit Enrollment - Centers and Group Homes (Spanish) | 09/01/2022 |
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes (English) | 09/01/2022 |
CCA-1021A | Unpaid Co-payment Worksheet (English) | 10/01/2022 |
CCA-1021A-S | Unpaid Co-payment Worksheet (Spanish) | 10/01/2022 |
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
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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