Title III Reporting Forms
View Links, Handbooks, and Resources Here
2023-ITCA-Title-III-Reports per Service (1)
A Matter of Balance
Caregiver Training
Caregiver Outreach / Caregiver Information & Referral
Congregate Meals
Enhance Fitness
Home Delivered Meals
- Short Form Intake Document (SFID)
- HHS Poverty Guidelines for 2022
- SFID Service Matrix DES AZ DAAS
- SFID Overview Tribal Power Point
Long Term Care / Ombudsman
- Time Sheet for Staff and Volunteers revised 4_25_18
- Monthly Ombudsman Data Collection Form
- Case Complaint Form
- HHS Poverty Guidelines for 2022
Public Benefit Outreach Project Form
- Client Contact fillable form
- Group Outreach and Education Form_PAM
- Media Outreach and Education form
- 2023 Federal Poverty Guidelines _MSP
- part-d-lis-eligibility-and-benefits-chart
Respite Care Forms
Socialization & Recreation
- SocRec-Monthly-Reporting-Form_FY2021
- SocRec-Monthly-Reporting-FY21
- SocRec-Monthly-Reporting-Form_FY2021
- SocRec-Summary-Report_FY 2021
Supplemental Handouts
- ITCA-Title-III-Reporting-summary-Tribes
- Clients Rights & Responsibility
- Grievance Procedure & Cost Sharing
- DAARS Instructions Rev 4.25
- HHS Poverty Guidelines for 2022
- Authorization for Release of Confidential Information
Transportation
Yogurt and Whole Wheat Pasta, Fresh Fruit and Veggies for Infants, now available on WIC!
Effective April 1, 2015, ITCA WIC added yogurt and whole wheat pasta to the foods available on WIC! Women and children participating in WIC will be able to purchase a 32 ounce container of a variety of plain or flavored yogurt. Loaded with calcium, vitamin D and protein, yogurt can be used for parfaits with fruit and cereal, as a dip for fruit or as a topping to tacos. Whole wheat pasta will be allowed as an option in addition to the whole wheat bread or tortillas, corn tortillas or brown rice currently offered. Whole wheat pasta is loaded with fiber and is so versatile- it can be used in soups, macaroni salads or pasta dishes.
Parents will be happy to hear that babies 9 months and older will have the option to receive a check for up to $8 in fresh fruit and veggies if their child is developmentally ready for finger foods! This allows parents to provide appropriate foods for their baby’s age.
WIC: Strengthening Families for 40 Years
We are happy to celebrate the 40th Anniversary of WIC! WIC is one of our country’s most important public health programs, and it has enriched the lives of millions of families over the years. WIC improves birth outcomes, reduces infant mortality, and prepares kids for learning.
We are excited to join with the National WIC Association in this celebration by sharing the video and print materials they created to celebrate the 40th Anniversary of WIC. They have developed short animated videos and print pieces to help illustrate what WIC does and how it helps strengthen families. Go to WICturns40.org to view these amazing materials.
ITCA WIC 40th Anniversary Proclamation
Fresh Bananas coming to WIC for infants!
The new food rule released in May 2014 by USDA allows WIC to provide bananas to infants as a substitute for a portion of the allowed baby foods. ITCA will begin issuing checks with bananas on October 1, 2014.
Fresh bananas are being added to address the changing developmental needs over time. Fresh bananas allow parents to provide the appropriate texture for the baby depending on the age and needs of the baby.
Legacy of the Inter Tribal Council of Arizona
Legacy of ITCA Project
The ‘Legacy of the Inter Tribal Council of Arizona’ Project (hereinafter referred to as “Project”) is analyzing the role of ITCA in the development of national Indian policy from the critical era following World War II to the present. The Project is exploring the role of Tribes in Arizona and ITCA in the development of federal self-determination policy and practices focusing on the perspectives of tribal leaders who founded and led the Association. The Project is also documenting the evolution of ITCA, including interviews with executive staff, identifying the goals and activities from its earliest years, as well as the strategies and tactics used by ITCA’s leadership in accomplishing collective goals over time.
TEC Partnerships
- Alaska Native Epidemiology Center
- Albuquerque Area Southwest Tribal Epidemiology Center
- California Tribal Epidemiology Center
- Great Lakes Inter-Tribal Epidemiology Center
- Northern Plains Tribal Epidemiology Center
- Northwest Tribal Epidemiology Center
- Rocky Mountain Tribal Epidemiology Center
- Oklahoma City Area Inter-Tribal Health Board Tribal Epidemiology Center
- United South & Eastern Tribes Tribal Epidemiology Center
- Urban Indian Health Institute Epidemiology Center
Introducing WIC’s New Look
ITCA WIC has a new look!
WIC has a new logo that reflects the revitalized energy that we use every day to offer participant-centered services to WIC clients across the state. WIC staff provides individualized care and positive support to each and every WIC family.
Watch for our new look beginning October 1, 2013 on ID folders, vendor window decals and nutrition education materials.
Arizona Tribal Solid Waste Listserv
The Tribal Solid Waste Program oversees the Tribal Solid Waste listserv in order to provide tribes with education, outreach, technical assistance and dissemination of solid and hazardous waste information. ITCA invites you to participate in this listserv to coordinate efforts for the betterment of tribal solid and hazardous waste programs. For more information on the listserv, please see the link below:
