| Copies | Edit the Number of Copies | Document Number | Document Name | Delete |
| 1 | Edit | EA-270 | Medicare Savings Program Application | Delete |
| 1 | Edit | BH 10 | South Dakota Community Mental Health Center Flyer | Delete |
| 1 | Edit | CPS-522 | Request for Payment | Delete |
| 1 | Edit | BH 24 | Behavioral Health Resources Flyer | Delete |
| 1 | Edit | ORFI-832 | Estate Recovery Program Petition for Limitation | Delete |
| 1 | Edit | PA-100 | Prior Authorization Forms: General | Delete |
| 1 | Edit | MS 26 | BabyReady Poster | Delete |
| 1 | Edit | EA-320 | Self-Employment Ledger | Delete |
| 1 | Edit | CCS-970 | Child Care Services Request For Payment | Delete |
| 1 | Edit | BH 16 | Pregnancy Alcohol Flyer | Delete |
| 1 | Edit | CPS 15 | Positive Indian Parenting Flyer | Delete |
| 1 | Edit | CPS 19N | Foster Care Brochure (Native American Theme) | Delete |
| 1 | Edit | MS 25 | BabyReady Rackcard | Delete |
| 1 | Edit | CPS 10 | Independent Living Program Brochure | Delete |
| 1 | Edit | NEMT-964 | Non-Emergency Medical Travel (NEMT) HIPAA Authorization | Delete |
| 1 | Edit | CCS-970 | Child Care Services Request For Payment | Delete |
| 1 | Edit | CPS-565 | Foster Parent Training & Self-Instruction | Delete |
| 1 | Edit | SE-431A | Child Support Payment Authorization Form | Delete |
| 1 | Edit | EA-307G | SNAP Group Home Exit Form | Delete |
| 1 | Edit | MS-146 | Sterilization Consent Form | Delete |
| 1 | Edit | EA 01 | Energy Saving Tips | Delete |
| 1 | Edit | BH 15 | Criminal Justice Initiative Flyer | Delete |
| 1 | Edit | EA 14 | CHIP Rack Card | Delete |
| 1 | Edit | MS-100 | Recipient Forms: HIPAA Privacy Consent Form | Delete |
| 1 | Edit | DSS-CCS | Rate Declaration Form | Delete |
| 1 | Edit | DSS 08 | Notice of Privacy Brochure | Delete |
| 1 | Edit | CPS | ICPC Financial and Medical Plan | Delete |
| 1 | Edit | PA-103 | Prior Authorization Forms: Synagis | Delete |
| 1 | Edit | CPS 19 | Foster Care Brochure | Delete |
| 1 | Edit | MS 05 | Well Visit Rack Card | Delete |
| 1 | Edit | EA 15 | Emergency Services for SD Flyer | Delete |
| 1 | Edit | MS 12 | Well Child Poster | Delete |
| 1 | Edit | EAFSSA | Children and Family Medical Assistance Application | Delete |
| 1 | Edit | EA-270 | Medicare Savings Program Application | Delete |
| 1 | Edit | ENERGY | Vendor Information: Direct Deposit | Delete |
| 1 | Edit | NEMT-952 | Medicaid Non-Emergency Travel (NEMT) Payment Authorization Form | Delete |
| 1 | Edit | ORFI-832 | Estate Recovery Program Petition for Limitation | Delete |
| 1 | Edit | MS 26 | BabyReady Poster | Delete |
| 1 | Edit | PA-103 | Prior Authorization Forms: Synagis | Delete |
| 1 | Edit | MS-100 | Recipient Forms: HIPAA Privacy Consent Form | Delete |
| 1 | Edit | CPS | Provider Mileage Request | Delete |
| 1 | Edit | EA-270 | Medicare Savings Program Application | Delete |
