2010 Administrative Directives

• 10ADM-01 - Elimination of the Resource Test for Non-SSI-Related Medicaid/Family Health Plus Applicants/Recipients (PDF, 62KB, 11pg.)
• 10ADM-02 - Medicaid Buy-In Program for Working People with Disabilities Medical Improvement Group (PDF, 61KB, 10pg.)
  • Attachment 1 (PDF, 31KB, 2pg.)
  • Attachment 2 (PDF, 29KB, 2pg.)
  • Attachment 3 (PDF, 31KB, 2pg.)
  • Attachment 4 (PDF, 12KB, 1pg.)
  • Attachment 5 (PDF, 12KB, 1pg.)
  • Attachment 6 (PDF, 11KB, 1pg.)
  • Attachment 7 (PDF, 12KB, 1pg.)
• 10ADM-03 - Medicare Savings Program Enrollment under the Medicare Improvements for Patients and Providers Act of 2008 (MIPP) (PDF, 38KB, 6pg.)
  • Attachment 1 (PDF, 51KB, 2pg.)
  • Attachment 2 (PDF, 18KB, 1pg.)
  • Attachment 3 (PDF, 39KB, 3pg.)
  • Attachment 4 (PDF, 15KB, 2pg.)
• 10ADM-04 - Elimination of the Personal Interview Requirement for Medicaid and Family Health Plus Applicants (PDF, 65KB, 13pg.)
  • Attachment 1 (PDF, 18KB, 1pg.)
  • Attachment 2 (PDF, 15KB, 1pg.)
  • Attachment 3 (PDF, 28KB, 1pg.)
  • Attachment 4 (PDF, 57KB, 7pg.)
• 10ADM-05 - Revised DOH-4220: Access NY Health Care Application and Release of DOH-4495A: Access NY Supplement A (PDF, 100KB, 14pg.)
  • Attachment 1 Application (PDF, 95KB, 9pg.)
  • Attachment 1 Fact Sheet (PDF, 69KB, 2pg.)
  • Attachment 1 Instruction (PDF, 319KB, 2pg.)
  • Attachment 1 Checklist (PDF, 50KB, 3pg.)
  • Attachment 2 Supplement A (PDF, 62KB, 2pg.)
  • Attachment 3 (PDF, 52KB, 7pg.)
  • Attachment 4 (PDF, 20KB, 1pg.)
  • Attachment 5 (PDF, 20KB, 1pg.)
• 10ADM-06 Standardized Financial Maintenance Requirements for Medicaid Applicants/Recipients (PDF, 37KB, 6pg.)
  • Attachment (PDF, 147KB, 1pg.)
• 10ADM-07 - Elimination of the State, County, Municipal and School-District Employee Exclusion for the Family Health Plus and Family Health Plus Premium Assistance Programs (PDF, 32KB, 4pg.)
• 10ADM-08 - Children's Health Insurance Program Reauthorization Act (CHIPRA)of 2009: Citizenship Documentation Requirements (PDF, 118KB, 16pg.)
  • Attachment 1 (PDF, 16KB, 1pg.)
  • Attachment 2 (PDF, 222KB, 2pg.)
• 10ADM-09 - Reimbursement of Paid Medical Expenses Under 18 NYCRR §360-7.5(a) (PDF, 51KB, 10pg.)
  • Attachment 1 (PDF, 19KB, 1pg.)
  • Attachment 2 (PDF, 12KB, 1pg.)
  • Attachment 3 (PDF, 22KB, 1pg.)
  • Attachment 4 (PDF, 20KB, 1pg.)
  • Attachment 5 (PDF, 37KB, 2pg.)
  • Attachment 5 MA Only-Spanish (PDF, 99KB, 2pg.)