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-2010A | Out-of-Network Claims Submission Guide | 05/01/2019 |
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CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
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AAA-1324A | Senior Medicare Patrol (SMP) Fraud Alert - Genetic Testing | 05/01/2019 |
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Statistical Bulletin March 2019 | Statistical Bulletin March 2019 | 05/03/2019 |
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30th Month Feb 2019 | 30th Month Financial Report FY 2019 through Feb 2019 | 05/13/2019 |
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RSA-1367A | Appeal Rights | 06/01/2019 |
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CCA-1259A-S | Formulario previo a la Solicitud de Proveedor de Cuidado de Niños Certificado por el DES | 06/01/2019 |
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DDD-0517A | Working With You (English) | 06/01/2019 |
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RSA-1367A-LP | Appeal Rights (Large Print) | 06/01/2019 |
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RSA-1367A-S | Derechos de Apelación | 06/01/2019 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2051A_2022 | Policy Development Tool 2022 | 12/01/2022 |
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AAA-1402A | Conflict of Interest Statement | 12/01/2022 |
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CCA-0036A | Permission to Give Medication | 12/01/2022 |
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EAP-1004A-S | Applicant Statement of Tribal LIHEAP Denial (Spanish) | 12/01/2022 |
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DDD-1542A | Assisted Living Center Occupancy (English) | 12/01/2022 |
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CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
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AAA-1178A | Training Record | 12/01/2022 |
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DDD-1542A-S | Assisted Living Center Occupancy (Spanish) | 12/01/2022 |
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CCA-0039A | Medical Statement (English) | 12/01/2022 |
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DDD-0208A-S | Community Living Services (CLS) Application and Agreement (Spanish) | 12/01/2022 |
Download | Number | Name | Effective Date |
---|---|---|---|
|
DDD-2292A-S | Decision-Making for Adults (Spanish) | 05/01/2024 |
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FAA-1045A-SLP | How to Use Your Arizona EBT Card - Large Print (Spanish) | 05/01/2024 |
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DDD-2285A-S | Services While Traveling Out of State (Spanish) | 05/01/2024 |
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DES-1139A | Services Provided by DES (English) | 05/01/2024 |
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GCI-1157C | Instructions for Completing the Record Review Report/Prior Written Notice (English) | 05/01/2024 |
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FAA-1045A-SXLP | How to Use Your Arizona EBT Card - Extra Large Print (Spanish) | 05/01/2024 |
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DDD-2286A | How to Apply for An Arizona State Identification (ID) Card (English) | 05/01/2024 |
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DDD-2286A-S | How to Apply for An Arizona State Identification (ID) Card (Spanish) | 05/01/2024 |
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CBC-1000A-S | Arizona Centralized Background Checks (CBC) - Individual User Guide (Spanish) | 05/01/2024 |
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DES-1139A-S | Services Provided by DES (Spanish) | 05/01/2024 |
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Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification