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Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Form Name Effective Date
FAA-0098B Verbal Appeals Request 03/01/2020
DDD-2039A HCBS Member Needs Assessment 02/01/2020
CSE-1157A Non-Custodial Parent Request for Administrative Review (Eng/Span) 02/01/2020
DDD-1535A Authorization for Disclosure of Protected Health Information 02/01/2020
DDD-1500A ALTCS Member Service Plan 02/01/2020
FCT-1001A Acknowledgment of Tribal Consultation Request 02/01/2020
DDD-1530A Managed Risk Agreement Services and/or Placement 02/01/2020
DDD-1309B AHCCCS/ALTCS/DDD Member Contingency/Back-up Plan 02/01/2020
DDD-1623A Team Attendance Sheet 02/01/2020
DDD-0219A Action Plan 02/01/2020

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