DOH 5247 - Medicaid Authorized Representative Designation-Change Request (Italian) Read more about DOH 5247 - Medicaid Authorized Representative Designation-Change Request (Italian)
DOH 5178 - Supplement A (Supplement to Access NY Health Care Application DOH-4220) (Italian) Read more about DOH 5178 - Supplement A (Supplement to Access NY Health Care Application DOH-4220) (Italian)
DOH 5149 - Authorization for Verification of Resources (Legal Spouse) (Italian) Read more about DOH 5149 - Authorization for Verification of Resources (Legal Spouse) (Italian)
DOH 5148 - Authorization for Verification of Resources (Applicant) (Italian) Read more about DOH 5148 - Authorization for Verification of Resources (Applicant) (Italian)
DOH 5147 - Submission of Application on Behalf of Applicant (Italian) Read more about DOH 5147 - Submission of Application on Behalf of Applicant (Italian)
DOH 5130 - Notice Options Available to Applicants Who May Be Blind or Visually Impaired (Italian) Read more about DOH 5130 - Notice Options Available to Applicants Who May Be Blind or Visually Impaired (Italian)
DOH 4496 - Medicare Savings Program Request for Information (Italian) Read more about DOH 4496 - Medicare Savings Program Request for Information (Italian)
DOH 4328 - Medicare Savings Program Application (Italian) Read more about DOH 4328 - Medicare Savings Program Application (Italian)
DOH 4321 - Notice of Acceptance of Your Medical Assistance Application (Community Coverage Without Long-Term Care) (Italian) Read more about DOH 4321 - Notice of Acceptance of Your Medical Assistance Application (Community Coverage Without Long-Term Care) (Italian)
DOH 4320 - Authorization for Short-Term Rehabilitative Nursing Home Care (Italian) Read more about DOH 4320 - Authorization for Short-Term Rehabilitative Nursing Home Care (Italian)