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-1426A | Request for Incontinence Briefs for Members Ages 3 and Above (English) | 08/01/2023 |
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DDD-2223A | RFQVA DDD-2024 Attestation of Policy Development Tool (English) | 08/01/2023 |
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J-119 | Data Sharing Request/Agreement (Single Division) (English) | 08/01/2023 |
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RRP-1015A-Rohingya (Latin) | Statement of Understanding (Rohingya (Latin)) | 08/01/2023 |
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DDD-1512A-LP | Acknowledgement of Publications/Information (Large Print) | 08/01/2023 |
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APS-1032A | Authorization to Release Non-HIPAA Information Form | 08/01/2023 |
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RRP-1015A-Russian | Statement of Understanding (Russian) | 08/01/2023 |
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DDD-1512A-SLP | Reconocimiento de Publicaciones e Información (Letra Grande) | 08/01/2023 |
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DDD-2234A | DDD Eligibility for Children Ages 3 to 6 Years (English/Spanish) | 08/01/2023 |
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RRP-1015A-S | Statement of Understanding (Spanish) | 08/01/2023 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-0525A-S | Application for Initial Eligibility Determination (Spanish) | 11/01/2022 |
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CCA-0229A-FY23 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2023 (English/Spanish) | 11/01/2022 |
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DDD-1972A | Application for Eligibility Determination Packet (English) | 11/01/2022 |
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DDD-0525A | Application for Initial Eligibility Determination (English) | 11/01/2022 |
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DDD-0097A | Pre-Service Provider Orientation (English) | 11/01/2022 |
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DDD-0097A-S | Pre-Service Provider Orientation (Spanish) | 11/01/2022 |
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CC-214-A | Relative Child Care Provider Rate Agreement | 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-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CCA-0031A | Verbal Notice of Eligibility (English/Spanish) | 10/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
POU-003 | Notice to Employees (English) | 08/01/2019 |
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POU-003-S | Notice to Employees (Spanish) | 08/01/2019 |
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UIB-1241A | Take Care of Unemployment Business by the Internet or Telephone (English) | 08/01/2019 |
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UIB-1241A-S | Take Care of Unemployment Business by the Internet or Telephone (Spanish) | 08/01/2019 |
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DDD-1954-S | Participación en DDD | 07/01/2019 |
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CSE-1251A | Fact Sheet for Minor Parents (English/Spanish) | 07/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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DDD-0517A-S | Working With You (Spanish) | 06/01/2019 |
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GCI-1081A | Interagency Coordinating Council for Infants and Toddlers (Consejo de Coordinación Interinstitucional para Bebés y Niños Pequeños) | 06/01/2019 |
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DDD-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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