Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditBRO/CCS14Choosing Child Care HandbookDelete
1EditPAPrior Authorization Forms: SynagisDelete
1EditEA-214TANF 6 Month Report FormDelete
1EditBH-14Substance Abuse - Accreditation ApplicationDelete
1EditBH-18Mental Health - Indigent Medication Update - Extension Form 1.0Delete
1EditCCSPayment Authorization FormDelete
1EditBRO/EA9SNAP Shoppers GuideDelete
1EditBRO/DCS4National Medical Support Notice Brochure - An Employers GuideDelete
1EditBRO/DCS6Voluntary Paternity Establishment Handbook and FormDelete
1EditPAPrior Authorization Forms: BRCADelete
1EditCPSPotential Placement StatementDelete
1EditEA-320Self-Employment LedgerDelete
1EditCPS-594Declaration of Prior Criminal Conviction & Military HistoryDelete
1EditBH-01Federal Poverty Level GuidelinesDelete
1EditPAPrior Authorization Forms: GeneralDelete
1EditDSSRecipient Forms: Psychiatric Residential Treatment Facility Referral FormDelete
1EditEA-270Medical Savings Program ApplicationDelete
1EditBRO/CPS18Family Group Conferencing – Provider Guide Delete
1EditBRO/DSS2Constituent Liaison Services BrochureDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditEAWeatherization ApplicationDelete
1EditBRO/EA18Long-Term Care Partnership BrochureDelete
1EditCPS-565Foster Parent Training & Self-InstructionDelete
1EditEA-310Form for Reporting ChangesDelete
1EditPOS/EA02Long-Term Care Partnership Fact SheetDelete
1EditEA-345Affidavit for SNAP Work RegistrantsDelete
1EditCPSFoster Parent HandbookDelete
1EditPAPrior Authorization Forms: Applied Behavior Analysis TherapyDelete
1EditDSS-CCSRate Declaration FormDelete
1EditEA-301Economic Assistance ApplicationDelete
1EditEA-324Wage VerificationDelete
1EditBRO/CPS11Central Registry of Child Abuse & NeglectDelete
1EditPAPrior Authorization Forms: Out-of State Services Delete
1EditBH-063rd Party Release of Information (ROI)Delete
1EditCPSIndependent Living Program BrochureDelete
1EditBRO/CCS6Child Care Assistance Program BrochureDelete
1EditEA-301MAChildren and Family Medical Assistance Supplemental Application Delete
1EditEA-320Self-Employment LedgerDelete
1EditBRO/DCS2Teenage Parents Guide - How to Establish Paternity and Financial Support for your ChildDelete
1EditBRO/EA2SNAP BrochureDelete
1EditBH-09Mental Health - Indigent Medication ApplicationDelete
1EditCCSPathways to Professional Development - Career Lattice Application FormDelete
1EditBRO/DSS8Notice of Privacy BrochureDelete
1EditRec and FraudCasualty Settlement Report FormDelete
1EditBRO/CPS15Family Group Conferencing – My Family Meeting Delete
1EditBRO/EBT1EBT Client HandbookDelete
1EditMSProfessional Services Billing ManualDelete
1EditBRO/RE4Medicaid Liens BrochureDelete
1EditBRO/EACommunity Action Agency HandoutDelete
1EditSE-492Notice of Shared Medical ExpensesDelete
1EditPosterCHIP PosterDelete