You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-2324A | Home and Community-Based Therapy Services Overview (English/Spanish) | 11/01/2024 |
DDD-2325A | Home and Community-Based Therapy Services Process (English/Spanish) | 11/01/2024 |
DDD-2326A | Types of Therapy Services (English) | 11/01/2024 |
DDD-2326A-S | Types of Therapy Services (Spanish) | 11/01/2024 |
DDD-2336A | Notice of Privacy Practices (English) | 11/01/2024 |
DDD-2336A-S | Notice of Privacy Practices (Spanish) | 11/01/2024 |
DDD-2337A | Needs Assessment Supplemental Screening Tool (English) | 12/01/2024 |
DDD-2340A | Residential Assessment Profile (English) | 12/01/2024 |
DDD-2344A | Quality Assurance Status of Review (English) | 03/01/2025 |
DDD-2346A | Vendor Attestation G-Tube Feeding and Medication Administration (English) | 03/01/2025 |
Number | Document Name | Effective Date |
---|---|---|
UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
UB-010-S | Eligibility Review Questionnaire (Spanish) | 02/01/2021 |
UB-092-A | Confidential Financial Statement (English) | 03/01/2018 |
UB-092-A-S | Confidential Financial Statement (Spanish) | 03/01/2018 |
UB-099-Y | Certification of Understanding (English / Spanish) | 07/01/2019 |
UB-101-A | Work Search Log (English / Spanish) | 04/01/2017 |
UB-101-B-FFS | Afirmación del Plan de Acción para Búsqueda de Trabajo | 11/01/2011 |
UB-105 | Arizona Initial Claim for Unemployment Insurance (English) | 02/01/2024 |
UB-105-S | Arizona Initial Claim for Unemployment Insurance (Spanish) | 02/01/2024 |
UB-106-T-I | Completion Instructions for Approved Training Continued Claim, UB-106-T (English) | 11/01/2023 |
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