OHIP 0001 - Notice of Decision on your Request for Undue Hardship (Transfer of Assets Penalty) (Haitian-Creole) Read more about OHIP 0001 - Notice of Decision on your Request for Undue Hardship (Transfer of Assets Penalty) (Haitian-Creole)
LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Haitian-Creole) Read more about LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Haitian-Creole)
DOH 5247 - Medicaid Authorized Representative Designation-Change Request (Haitian-Creole) Read more about DOH 5247 - Medicaid Authorized Representative Designation-Change Request (Haitian-Creole)
DOH 5178 - Supplement A (Supplement to Access NY Health Care Application DOH-4220) (Haitian-Creole) Read more about DOH 5178 - Supplement A (Supplement to Access NY Health Care Application DOH-4220) (Haitian-Creole)
DOH 5149 - Authorization for Verification of Resources (Legal Spouse) (Haitian-Creole) Read more about DOH 5149 - Authorization for Verification of Resources (Legal Spouse) (Haitian-Creole)
DOH 5148 - Authorization for Verification of Resources (Applicant) (Haitian-Creole) Read more about DOH 5148 - Authorization for Verification of Resources (Applicant) (Haitian-Creole)
DOH 5147 - Submission of Application on Behalf of Applicant (Haitian-Creole) Read more about DOH 5147 - Submission of Application on Behalf of Applicant (Haitian-Creole)
DOH 5130 - Notice Options Available to Applicants Who May Be Blind or Visually Impaired (Haitian-Creole) Read more about DOH 5130 - Notice Options Available to Applicants Who May Be Blind or Visually Impaired (Haitian-Creole)
DOH 4321 - Notice of Acceptance of Your Medical Assistance Application (Community Coverage Without Long-Term Care) (Haitian-Creole) Read more about DOH 4321 - Notice of Acceptance of Your Medical Assistance Application (Community Coverage Without Long-Term Care) (Haitian-Creole)
DOH 4320 - Authorization for Short-Term Rehabilitative Nursing Home Care (Haitian-Creole) Read more about DOH 4320 - Authorization for Short-Term Rehabilitative Nursing Home Care (Haitian-Creole)