2985
This Form is used for reporting changes to the provider agency information in Alaska. It helps agencies in Alaska to update their information to ensure accurate reporting.
This form is used for care coordinators in Alaska to disclose their business and familial relationships. It helps ensure transparency and integrity in the healthcare system.
This form is used for declaring intensive active treatment services in Alaska.
This is a form used in Alaska for declaring supported employment services.
This Form is used for declaring residential supported living services in Alaska.
This form is used for reporting material improvements and waivers related to the CCMC in Alaska.
This form is used for reporting changes in care coordinator information in the state of Alaska.
This form is used for requesting a waiver of First Aid and CPR training for first-time personal care assistants in Alaska.
This Form is used for declaring chore services in Alaska.
This Form is used for applying for a conflict of interest exception in Alaska.
This form is used for submitting a Quality Improvement Report (QIR) in Alaska.
This form is used to request a remote allowance for personal care assistants in Alaska who need to undergo First Aid and CPR training. The remote allowance covers the costs associated with traveling to and attending the training sessions.
This form is used for obtaining consent from individuals in Alaska for conducting Teleassessment for Intellectual and Developmental Disabilities (IDD).
This type of document serves as a record of viewing and completion for the training video required for mandated reporters in Alaska.
This form is used for pre-admission screening and resident review in the state of Alaska. It helps determine if a person is eligible for long-term care services and assesses their needs before admission to a care facility.
This document is a log used to track presentations related to Medicare in Alaska. It helps keep a record of when and where these presentations took place.
This document is a privacy and security agreement for individual providers in Alaska using the Harmony Data System. It outlines the measures taken to protect the privacy and security of user data.
This document is used for invoicing the facilitation site fee in the state of Alaska. It is used to request payment for the use of a facilitation site.
This document is an application for the Alaska Commodity Supplemental Food Program (CSFP) which provides food assistance to eligible individuals in Alaska.
This Form is used for calculating self-employment income and deductions for individuals in Alaska.
This Form is used for reporting changes in family circumstances for residents of Alaska.
This form is used for providing a statement of employment in the state of Alaska. It is typically used by employers to verify an individual's employment status.
This Form is used for keeping a monthly record of tips in Alaska. Keep track of your tips with this ledger.
This Form is used for applying for Alaska Inclusive Child Care services in Alaska.
This form is used for reporting health status in Alaska.
This form is used for terminating child care services in Alaska.
This form is used for requesting a hearing in the state of Alaska.
This form outlines the health and safety requirements for approved relative child care providers in Alaska.
This form is used for submitting a request for additional payment in the state of Alaska.
This form is used for approved child care providers in Alaska to create a disaster preparedness and emergency evacuation plan for the safety of children in their care.
This form is used to determine the rates and responsibilities for child care providers in Alaska. It outlines the expectations for payment and the duties that providers are responsible for.
This form is used for establishing an agreement between parents and in-home child caregivers in Alaska. It ensures clear understanding and expectations regarding childcare arrangements.