LDSS 901 - Authorization for Medical Examination and Payment Request Read more about LDSS 901 - Authorization for Medical Examination and Payment Request
LDSS 654 - Transmittal Sheet Disability Determination Request Read more about LDSS 654 - Transmittal Sheet Disability Determination Request
LDSS 639 - Disability Review Team Certificate Read more about LDSS 639 - Disability Review Team Certificate
LDSS 4929 - Upstate Inter-Agency Date of Status (DOS) and Date Entered Country (DEC) Transmittal Form Read more about LDSS 4929 - Upstate Inter-Agency Date of Status (DOS) and Date Entered Country (DEC) Transmittal Form
LDSS 4807 - Health Care Programs for New Yorkers Read more about LDSS 4807 - Health Care Programs for New Yorkers
LDSS 4807 - Health Care Programs for New Yorkers (Spanish) Read more about LDSS 4807 - Health Care Programs for New Yorkers (Spanish)
LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage Read more about LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage
LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Spanish) Read more about LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Spanish)
LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Russian) Read more about LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Russian)
LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Korean) Read more about LDSS 4578 - Notice of Intent to Change Medical Assistance to Transitional Medical Assistance Coverage (Korean)