Lynne A. Valenti
Cabinet Secretary

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CopiesEdit the Number of CopiesDocument NumberDocument NameDelete
1EditEA-345Affidavit for SNAP Work RegistrantsDelete
1EditEA-345AAffidavit for SNAP Work Registrants (Employment & Training)Delete
1EditBH-18Substance Use Disorder High Intensity Referral FormDelete
1EditMSProviders: NEMT Provider AgreementDelete
1EditBH-07Mental Health - Accreditation ApplicationDelete
1EditCPSPotential Placement StatementDelete
1EditBH-04102b Hardship ConsiderationsDelete
1EditMSCertificate of Medical NecessityDelete
1EditPosterCHIP PosterDelete
1EditBRO/BH1Substance Use Disorder Services BrochureDelete
1EditEA-305Boarding School-Institution DocumentationDelete
1EditCPS-566Foster Parent EvaluationDelete
1EditRec and FraudEstate Recovery Program Petition for LimitationDelete
1EditCCSOrientation Training Verification FormDelete
1EditBRO/EA8Medicaid Spousal Care HandbookDelete
1EditDSSGuide to Administrative Hearings ProcedureDelete
1EditBRO/MS6Health Home BrochureDelete
1EditRec and FraudReport Benefit FraudDelete
1EditBRO/DSS4Direct Deposit BrochureDelete
1EditFACISInterstate Compact: Report on Child PlacementDelete
1EditMISC/BH1South Dakota Community Mental Health Center FlyerDelete
1EditEA-208Authorization to Furnish / Release InformationDelete
1EditBRO/MS1Medical Assistance Program Recipient HandbookDelete
1EditCPSDesignated Tribal Agent Request for Change of AddressDelete
1EditCPS-533Adoption Registry FormDelete
1EditCPSBackground Information for Voluntary Termination of Parental RightsDelete
1EditPAPrior Authorization Forms: Out-of State Services Delete
1EditBH-11cAdult SUD Discharge Outcome Tool Delete
1EditBH-11Behavioral Health Treatment Outcomes Program ManualDelete
1EditBRO/CPS7Independent Living Program Education and Training Voucher BrochureDelete