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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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
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CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-0041A-S | Solicitud De Audiencia Imparcial | 11/01/2021 |
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CCA-0044A | Verification of Shelter Case Plan (English) | 11/01/2021 |
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CCA-0046A | DES Child Care Services Information (English/Spanish) | 09/01/2023 |
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CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
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CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
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CCA-0100A | Provider's Child Care Operational Information | 01/01/2023 |
Download | Number | Name | Effective Date |
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DDD-1988A | PRC Disposition (English) | 03/01/2022 |
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DDD-1988A-S | PRC Disposition (Spanish) | 03/01/2022 |
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DDD-1991A | DDD Eligibility Checklist (English) | 10/01/2022 |
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DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
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DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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DDD-2039A-LP | HCBS Member Needs Assessment (Large Print) | 05/01/2022 |
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DDD-2039A-S | HCBS Member Needs Assessment (Spanish) | 05/01/2022 |
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DDD-2039A-SLP | HCBS Member Needs Assessment (Spanish Large Print) | 05/01/2022 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
Download | Number | Name | Effective Date |
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Statistical Bulletin January 2014 | Statistical Bulletin January 2014 | 02/28/2014 |
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Statistical Bulletin January 2015 | Statistical Bulletin January 2015 | 01/31/2015 |
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Statistical Bulletin January 2016 | Statistical Bulletin January 2016 | 02/12/2016 |
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Statistical Bulletin January 2017 | Statistical Bulletin January 2017 | 02/01/2017 |
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Statistical Bulletin January 2018 | Statistical Bulletin January 2018 | 02/28/2018 |
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Statistical Bulletin January 2019 | Statistical Bulletin January 2019 | 02/28/2019 |
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Statistical Bulletin January 2020 | Statistical Bulletin January 2020 | 02/28/2020 |
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Statistical Bulletin January 2021 | Statistical Bulletin January 2021 | 04/11/2022 |
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Statistical Bulletin January 2022 | Statistical Bulletin January 2022 | 04/11/2022 |
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Statistical Bulletin January 2023 | Statistical Bulletin January 2023 | 02/28/2023 |
Download | Number | Name | Effective Date |
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GCI-1117A-S | AZEIP está aceptando referencias durante la crisis COVID-19 | 04/01/2020 |
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GCI-1120A | Transition Guide for Families: What You Need to Know Before Your Child's Third Birthday | 02/01/2022 |
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GCI-1120A-S | Guía de Transición para Familias: Lo que necesita saber antes del tercer cumpleaños de su hijo(a) | 02/01/2022 |
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GCI-1125A | Arizona Early Intervention Program Billing Manual - October 2022 (English) | 10/01/2022 |
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GCI-1145A | Approved Screening, Evaluation, and Assessment Instruments (English) | 07/01/2022 |
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GCI-1148A | Directory of Early Intervention Programs (English) | 07/01/2023 |
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GCI-1148A-S | Directory of Early Intervention Programs (Spanish) | 07/01/2023 |
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GCI-1149A | Arizona's Theory of Action / Teoria de Acción de Arizona | 01/01/2023 |
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GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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GCI-1161A | AzEIP Programmatic Meeting | 07/01/2023 |
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