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-1883A-S | ¿Qué es PASRR? Una guía para las familias | 02/01/2023 |
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DDD-1883A | What is PASRR? | 02/01/2023 |
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FAA-0001U | Notice of Non-Discrimination/Aviso De No Discriminación AH-1000 | 02/01/2023 |
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DDD-2173A | Request for Amended/Correction of Protected Health Information (PHI) | 02/01/2023 |
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DDD-1580A | Reversal Adjustment Request Cover Sheet (English) | 02/01/2023 |
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LCR-1084A | Application for Renewal or Amended HCBS Certificate for Independent Providers | 02/01/2023 |
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DDD-1658A | Agency With Choice: Individual Representative (English) | 02/01/2023 |
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DDD-2171A | Accounting Disclosures Tracking | 02/01/2023 |
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DDD-1658A-S | Agency With Choice: Individual Representative (Spanish) | 02/01/2023 |
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RSA-1322A | Pre-Employment Transition Services | 02/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
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RSA-1298A | Referral Form (English) | 02/01/2021 |
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UB-010 | Eligibility Review Questionnaire (English) | 02/01/2021 |
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RSA-1396A | Secure Email Waiver | 02/01/2021 |
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RSA-1298A-LP | Referral Form - Large Print (English) | 02/01/2021 |
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CSE-1315A | Federal Form - General Testimony | 01/01/2021 |
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CSE-1315B | Federal Form - General Testimony Instructions | 01/01/2021 |
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LCR-1086A | Application for Child Developmental Home Certification | 01/01/2021 |
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DDD-2086A | Support Coordinator Screening and Discharge for Occupational, Physical, and Speech Therapy | 01/01/2021 |
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LCR-1054A-S | Formulario de Solicitud Inicial | 01/01/2021 |
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DDD-2088A | Evaluation Report Plan of Care/Treatment: Certification/Recertification | 01/01/2021 |
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