You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Download |
Number |
Name | Effective Date |
---|---|---|---|
|
DDD-1991A-S | DDD Eligibility Checklist (Spanish) | 10/01/2022 |
|
DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
|
DDD-2013A | Residential Service Options | 12/01/2021 |
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DDD-2013A-S | Opciones de servicios residenciales | 12/01/2021 |
|
DDD-2025A | DDD Tribal Health Program Fee-for-Service Claims Submission Guide | 10/01/2021 |
|
DDD-2036A | Member Funds Monthly Ledger (English) | 12/01/2020 |
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DDD-2045A | DDD Member Councils | 12/04/2019 |
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DDD-2045A-S | Consejos de miembros de la DDD | 12/04/2019 |
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DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
|
DDD-2051A_2023 | Policy Development Tool 2023 | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
LCR-1023A-S | Life-Safety Inspection Report (Spanish) | 02/01/2024 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
|
LCR-1025A-S | Application for Initial HCBS Certification (Spanish) | 09/01/2020 |
|
LCR-1028A | Agency Roster of Employees | 07/01/2023 |
|
LCR-1030A | Request to Withdraw HCBS Certification | 10/01/2020 |
|
LCR-1031B | Child or Adult Developmental Home Caregiver Assessment Guide | 12/01/2022 |
|
LCR-1031B-S | Hogares de Desarrollo para Menores o Adultos - Guía de Evaluación del Cuidador | 12/01/2022 |
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LCR-1033A | Life-Safety Inspection Request | 02/01/2020 |
|
LCR-1034A | Criminal History Self Disclosure Affidavit (English) | 10/01/2019 |
|
LCR-1034A-S | Criminal History Self Disclosure Affidavit (Spanish) | 10/01/2019 |
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