UPDATE: As part of its increased fraud detection efforts, DES closed accounts with suspicious account information and activity located out of state. The majority of claims identified are believed to be fraudulent. Whenever additional fraud detection and prevention measures are put into place, there will be a small portion of individuals eligible for benefits who may be impacted by these measures. These individuals will still be able to access benefits. Impacted cardholders who believe they are eligible for benefits should contact DES directly at [email protected]. Once a case is validated as not being fraudulent, a new card will be issued to the claimant and the funds will be reloaded.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
AG-119-S | Determine your Nutritional Health (Spanish) | 11/01/2008 |
|
DDD-1482A | Do Your Business a Favor...Hire a Person with a Disability | 05/01/2008 |
|
WOTC - How to Qualify and Participate | Work Opportunity Tax Credit-How to Qualify and Participate | 02/01/2008 |
|
AAA-1116A | Host Agency Supervisor's Evaluation | 08/01/2007 |
|
AAA-1120A | Participant Evaluation | 08/01/2007 |
|
JOB-1117A-S | Authorization to Release AHCCCS Health Insurance Eligibility Information to the Jobs Program Private Contractor - Spanish | 06/01/2007 |
|
JOB-1118A | AZTECS Notification of Restricted Access to AHCCCS Information and Information Exchange Request | 06/01/2007 |
| DDD-1270A | ISP Checklist | 05/01/2007 | |
| DDD-1270A S | ISP Checklist (Spanish) | 05/01/2007 | |
| DDD-1426A | Diaper/Brief Request for Consumers Ages 3-21 | 03/01/2007 |
| Download | Number | Name |
Effective Date |
|---|---|---|---|
|
ESA-1303A | Job Order | 01/01/2018 |
|
TANF-WVP 2018 | Temporary Assistance for Needy Families (TANF) Work Verification Plan 2018 | 01/01/2018 |
|
WIO-1061A | Training Provider Monitoring Tool | 01/01/2018 |
|
WIO-1061B | Training Program Monitoring Tool | 01/01/2018 |
|
DDD-1151A | Augmentative Alternative Communication (AAC) Evaluation Request | 01/01/2018 |
|
PPP-1127A-S | Authorización Para Divulgación de la Información Protegida de Salud | 01/01/2018 |
|
PPP-1127A | Authorization for Disclosure of Protected Health Information | 01/01/2018 |
|
ESA-1299A | Request for Conditional Access Into the Agricultural Recruitment System | 01/01/2018 |
|
DDD-1692A | Prevention and Support Instructor Recertification Packet | 01/01/2018 |
|
PAD-465-C | Definitions for AHCCCS Members | 01/01/2018 |
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