DHS-2630-ENG Alternative Care Program Eligibility Worksheet for Unmarried Individuals or Married Couples When Both May Choose the Alternative Care Program or a Married Person Whose Spouse Is an EW Recipient or Is Living in a Nursing Facility

DHS-2630A-ENG Alternative Care Program Eligibility Worksheet for a Married Person who has a Community Spouse

DHS-3067-ENG DD Screening Document

DHS-4106C-ENG Health plan enrollment form for people 65 years old or older

DHS-4426-ENG Nonrecurring Adoption Expense Reimbursement Program-Instructions

DHS-4915-ENG Medical Assistance (MA) Payment of Long-Term Care Services

DHS-5820-ENG Disability Waiver Rates System Exception Request

DHS-5820C-ENG Lead agency provider tool for DWRS exceptions (residential)

DHS-5820D-ENG Lead agency provider tool for DWRS exceptions (day or unit)

DHS-6633A-ENG CDCS Community Support Plan Addendum 

DHS-6683-ENG Essential Community Supports Program (ECS) Financial Eligibility Worksheet

DHS-6683A-ENG Essential Community Supports Program (ECS) Eligibility Worksheet for a Married Individual when only one spouse is requesting services

DHS-6790C-ENG RMS Worksheet — Community Residential Services or Family Residential Services

DHS-6790M-ENG RMS Worksheet – Day and Employment Services

DHS-6790O-ENG RMS Worksheet — Integrated Community Supports (ICS)

DHS-7120D-ENG Early Intensive Developmental and Behavioral Intervention (EIDBI) Level I Provider Assurance Statement

DHS-7297-ENG Variance Request: Family Child Care

DHS-7297A-ENG Family Child Care Weekly Attendance Schedule

DHS-7297B-ENG Variance Request Notice for Parents

DHS-7867A-ENG Child Care Assistance Program - Monitoring visit summary

DHS-7941-ENG Family Child Care License Application Withdrawal

DHS-7990-ENG Pediatric Symptom Checklist Parent and Youth Screening Tool Q38

DHS-8056-ENG Deaf and Hard of Hearing Services Division Permission to Share Information

DHS-8057-ENG Deaf and Hard of Hearing Services Division Client Intake Form

DHS-8062-ENG Setting Capacity Report