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Reference Materials

Welcome Letter for Clients - English Language (not modifiable) pdf file

Welcome Letter for Clients - English Language (modifiable) word document

Welcome Letter for Clients - Spanish Language (not modifiable) pdf file

Welcome Letter for Clients - Spanish Language (modifiable) word document

 

 

 

CICP Program Brochure - July 2010 pdf file

 

 

 

CICP Provider Directory - Updated January 4, 2012 pdf file

Third Party User Access Request Form word document

 

 

 

CICP Ability to Pay Scale Effective April 1, 2011 pdf file

CICP Provider's Statement of Responsibilities pdf file

CICP Client's Statement of Responsibilities pdf file

 

 

 

 

Third Party User Access Modification/Revocation Form word document

 

 

 

FY 2011-12 CICP Manual - Effective July 1, 2011

FY 2011-12 CICP Manual Table of Contents pdf file

FY 2011-12 CICP Manual Section I Eligibility pdf file

FY 2011-12 CICP Manual Section II Data Collection pdf file

FY 2011-12 CICP Manual Section III Provider Audit pdf file

FY 2011-12 CICP Manual Section IV CICP Regulations pdf file

FY 2011-12 CICP Manual Section V Enabling Legislation pdf file

FY 2011-12 CICP Manual Section VI Client Application pdf file

Personal Vehicle Use Form pdf file

Client Responisbilities-Spanish pdf file

FY 2011-12 CICP Manual Section VII Sample Physician Contract pdf file

FY 2011-12 CICP Manual Section VIII Copayment Table pdf file

FY 2011-12 CICP Manual Section IX Miscellaneous Material pdf file

   

FY 2010-11 CICP Manual  -  Effective July 1, 2010

FY 2010-11 CICP Manual Table of Contents pdf file

FY 2010-11 CICP Manual Section I Eligibility pdf file

FY 2010-11 CICP Manual Section II Data Collection pdf file

FY 2010-11 CICP Manual Section III Provider Audit pdf file

FY 2010-11 CICP Manual Section IV CICP Regulations pdf file

FY 2010-11 CICP Manual Section V Enabling Legislation pdf file

FY 2010-11 CICP Manual Section VI Client Application pdf file

Personal Vehicle Use Form - en Espanol pdf file

FY 2010-11 CICP Manual Section VII Sample Physician Contract pdf file

FY 2010-11 CICP Manual Section VIII Ability to Pay Scale and Copayment Table pdf file

FY 2010-11 CICP Manual Section IX Miscellaneous Material pdf file

 

FY 2009 CICP Manual  -  Effective July 1, 2008

CICP Manual Table of Contents pdf file

CICP Manual Section I Eligibility pdf file

CICP Manual Section I Eligibility - Page 49 - Annual Board Value Table (Value of Food) Updated April 2009 pdf file

CICP Manual Section II Data Collection pdf file

CICP Manual Section III Provider Audit pdf file

CICP Manual Section IV CICP Regulations pdf file

CICP Manual Section V Enabling Legislation pdf file

CICP Manual Section VI Client Affidavit and Application pdf file

CICP Manual Section VII Sample Physician Contract pdf file

CICP Manual Section VIII Ability to Pay Scale and Copayment Table pdf file

CICP Manual Section IX Miscellaneous Material pdf file