| Title |
Effective Date |
|
DAAS-3000 Appointment Follow-up Letter Regarding SA Assistance Request
|
Oct 01, 2011 02:30 PM
|
|
DAAS-3000sp Carta de seguimiento para hacer una cita
|
Oct 01, 2011 02:35 PM
|
|
DAAS-3001 Special Assistance Notice of County of Residence Reassignment/Transfer
|
Oct 01, 2011 12:30 PM
|
|
DAAS-3001sp Notificación sobre reasignación o transferencia
|
Oct 01, 2011 02:35 PM
|
|
DAAS-3002 Agreement to Sell Property
|
Dec 01, 2011 12:30 PM
|
|
DAAS-3002sp Compromiso de venta propiedad
|
Dec 01, 2011 11:50 AM
|
|
DAAS-3003 Important Information About Your Special Assistance and Your Resources
|
Dec 01, 2011 12:35 PM
|
|
DAAS-3004 Referral to SSA for Waiver or Reduction of Overpayment Recoupment
|
Dec 01, 2011 12:40 PM
|
|
DAAS-3005 Documentation Regarding Continuation of Special Assistance When the LOC Is Upgraded, But No Bed Is Available
|
Dec 01, 2011 11:50 AM
|
|
DAAS-3006 Medical Care Special / Medical Expense Form
|
Dec 01, 2011 12:40 PM
|
|
DAAS-8190 SSI/Non-SSI Application Workbook
|
Jun 01, 2017 12:50 PM
|
|
DAAS-8191 Special Assistance Re-enrollment Information Notice
|
Nov 01, 2015 10:35 AM
|
|
SAIH Appendix A, State/County Special Assistance (SA) Flow Sheet
|
Jun 14, 2013 10:35 AM
|
|
SAIH Appendix E, Supplement 1
|
Feb 10, 2020 10:35 AM
|
|
SAIH Appendix E, Supplement 2
|
Feb 10, 2020 10:35 AM
|
|
DAAS-0030 SAIH Economic Assessment Worksheet Handwritten
|
Mar 01, 2022 03:02 PM
|
|
DAAS-0030 SAIH Economic Assessment Worksheet Electronic
|
Mar 01, 2022 03:02 PM
|
|
DAAS-0031 SAIH Transmittal Form Handwritten
|
Mar 01, 2022 03:02 PM
|
|
DAAS-0031 SAIH Transmittal Form Electronic
|
Mar 01, 2022 03:01 PM
|
|
SAIH Economic Worksheet Instructions
|
Mar 01, 2022 03:01 PM
|
