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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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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DDD-1404E | Employment Support Aide Agreement (English) | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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SNA-1046A | Monthly Work Activity Report | 05/01/2019 |
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SNA-1046A-S | Informe Mensual de Actividades Laborales (Monthly Work Activity Report) | 05/01/2019 |
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Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
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30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
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RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
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DDD-2069A-S | DDD Eligibility Packet (Spanish) | 11/01/2022 |
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DDD-2069A | DDD Eligibility Packet (English) | 11/01/2022 |
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DDD-1972A-S | Application for Eligibility Determination Packet (Spanish) | 11/01/2022 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
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LDU-1003A-S | Información Sobre una Disputa Laboral | 12/01/2022 |
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DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
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