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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 September 11, 2012 pdf file

Third Party User Access Request Form word document

 

 

 

CICP Ability to Pay Scale- Effective April 1, 2013 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 2012-13 CICP Manual  -  Effective July 1, 2012

FY 2012-13 CICP Manual Table of Contents pdf file

FY 2012-13 CICP Manual Section I Eligibility pdf file

FY 2012-13 CICP Manual Section II Data Collection pdf file

FY 2012-12 CICP Manual Section III Provider Audit pdf file

FY 2012-13 CICP Manual Section IV CICP Regulations pdf file

FY 2012-13 CICP Manual Section V Enabling Legislation pdf file

FY 2012-13 CICP Manual Section VI Client Application pdf file

Personal Vehicle Use Form pdf file

FY 2012-13 CICP Manual Section VII Sample Physician Contract pdf file

FY 2012-13 CICP Manual Section VIII Ability to Pay Scale and Copayment Table pdf file

FY 2012-13 CICP Manual Section IX Miscellaneous Material pdf file

 

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