|
DDD-2101A-S |
Electronic Visit Verification (EVV) Paper Timesheet Attestation (Spanish) |
09/01/2021 |
|
CSE-1129A-S |
Electronic Payment Authorization (Spanish) |
09/01/2021 |
|
DDD-2102A |
Electronic Visit Verification (EVV) Designee Attestation (English) |
09/01/2021 |
|
LCR-1079A |
Developmental Home Compliance Review |
09/01/2021 |
|
CSE-1168A |
Agreement to Accept Service by Mail - TANF Workshops |
09/01/2021 |
|
DDD-2102A-S |
Electronic Visit Verification (EVV) Designee Attestation (Spanish) |
09/01/2021 |
|
DDD-2101A |
Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) |
09/01/2021 |
|
DDD-2098A |
Hourly Nursing Assessment Tool (H-NAT) |
09/01/2021 |
|
CSE-1281A |
Agreement to Accept Service by Mail Paternity or Establishment (English/Spanish) |
09/01/2021 |
|
DDD-2099A |
Electronic Visit Verification (EVV) Member Contingency/ Back-Up Plan |
09/01/2021 |