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NYC MABEL Authorization for Medical Assistance Manual Read more about NYC MABEL Authorization for Medical Assistance Manual
S12, U0121 - All Covered Care and Services to CC With CBLTCNo Longer Institutionalized Exc Inc SD Not Met Read more about S12, U0121 - All Covered Care and Services to CC With CBLTCNo Longer Institutionalized Exc Inc SD Not Met
C33, U0076 - All Covered Care and Services to CC With CBLTCNo Longer Institutionalized No SD Renewal Read more about C33, U0076 - All Covered Care and Services to CC With CBLTCNo Longer Institutionalized No SD Renewal
C32, U0117 - Continue MA Payment of Health Insurance Premiums Upstate Read more about C32, U0117 - Continue MA Payment of Health Insurance Premiums Upstate
M28, M0004 - Denial of Your Request to Join a Health Plan (FH#236) Read more about M28, M0004 - Denial of Your Request to Join a Health Plan (FH#236)
LDSS 939 - Medical Assistance Questionnaire - Responsible Relative (Spanish) Read more about LDSS 939 - Medical Assistance Questionnaire - Responsible Relative (Spanish)
LDSS 4294 - Explanation of the Effect of Transfer of Asset(s) on Medical Assistance Eligibility Read more about LDSS 4294 - Explanation of the Effect of Transfer of Asset(s) on Medical Assistance Eligibility
LDSS 3827 - Burial Fund Acknowledgment (Spanish) Read more about LDSS 3827 - Burial Fund Acknowledgment (Spanish)
LDSS 2400 - Child-Teen Health Program Services (Spanish) Read more about LDSS 2400 - Child-Teen Health Program Services (Spanish)