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SPP-APR-C FFY2021 |
State Performance Plan / Annual Performance Report: Part C FFY 2021 |
02/03/2023 |
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DDD-1658A-S |
Agency With Choice: Individual Representative (Spanish) |
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-2171A |
Accounting Disclosures Tracking |
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-2174A |
Request for Restriction of Protected Health Information (PHI) |
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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CSE-1225A |
Caretakers Raising Children (English) |
02/01/2023 |
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DDD-2172A |
Authorization of Disclosure of Confidential Substance Use Disorder (SUD) Record Information |
02/01/2023 |
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CSE-1225A-S |
Caretakers Raising Children (Spanish) |
02/01/2023 |