Arizona Administrative Code
Title 6 - ECONOMIC SECURITY
Chapter 6 - DEPARTMENT OF ECONOMIC SECURITY - DEVELOPMENTAL DISABILITIES
Article 4 - APPLICATION
Section R6-6-402 - Application for the Division of Developmental Disabilities Services

Universal Citation: AZ Admin Code R 6-6-402

Current through Register Vol. 30, No. 12, March 22, 2024

A. An applicant shall:

1. Complete, sign, and submit an application on the form or by the method provided by the Division;

2. Participate in a face-to-face interview with a designated Department employee, if requested by the Division or the applicant; and

3. Submit information and documents to support the application, as required by the Division.

B. Upon application, the applicant agrees to abide by federal and state statutes and regulations and Department policy.

C. The application shall contain, at a minimum:

1. With respect to the person applying:
a. Name, address, and telephone number;

b. Date of birth, place of birth, gender, primary language, and proof of U.S. citizenship;

c. Medical insurance coverage;

d. Educational history, including educational placements

e. Information showing the existence of a developmental disability, including professional assessments and evaluations, as required in A.R.S. § 36-559(A)(2) and Article 3 of this Chapter; and

f. A description of any other disabling conditions or special considerations.

2. With respect to the responsible person, if other than the person to whom services would be provided:
a. Name, home address, and telephone number; and

b. Relationship to person to whom services would be provided.

D. If guardianship or conservatorship has been established, the applicant shall provide a copy of the court order with the application.

E.

Within 10 calendar days of receipt of an incomplete application, the Division shall notify the applicant of the information needed to complete the application and request the missing information.

F. If the applicant does not provide the requested information to the Division by the date specified in the notification under subsection (E), the Division may deny the application and close the file.

G. An applicant whose file has been closed, and who subsequently desires admission, shall submit a new application.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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