|
DDD-2099A |
Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan |
09/01/2021 |
|
DDD-2099A-S |
Plan de contingencia/respaldo del miembro para la verificación de visita electrónica (EVV) |
09/01/2021 |
|
DDD-2100A-S |
Hoja de horas de verificación de visita electrónica de DDD |
09/01/2021 |
|
DDD-2100A |
DDD Electronic Visit Verification Paper Timesheet |
09/01/2021 |
|
CSE-1281A |
Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) |
09/01/2021 |
|
DDD-2101A-S |
Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) |
09/01/2021 |
|
DDD-2102A |
Electronic Visit Verification (EVV) Designee Attestation (English) |
09/01/2021 |
|
DDD-2102A-S |
Electronic Visit Verification (EVV) Designee Attestation (Spanish) |
09/01/2021 |
|
CSE-1168A |
Agreement to Accept Service by Mail - TANF Workshops |
09/01/2021 |
|
DDD-2098A |
Hourly Nursing Assessment Tool (H-NAT) |
09/01/2021 |