2010 Administrative Directives

• 10ADM-01 - Elimination of the Resource Test for Non-SSI-Related Medicaid/Family Health Plus Applicants/Recipients - (PDF)
• 10ADM-02 - Medicaid Buy-In Program for Working People with Disabilities Medical Improvement Group (PDF)
  • Attachment 1 (PDF)
  • Attachment 2 (PDF)
  • Attachment 3 (PDF)
  • Attachment 4 (PDF)
  • Attachment 5 (PDF)
  • Attachment 6 (PDF)
  • Attachment 7 (PDF)
• 10ADM-03 - Medicare Savings Program Enrollment under the Medicare Improvements for Patients and Providers Act of 2008 (MIPP) (PDF)
  • Attachment 1 (PDF)
  • Attachment 2 (PDF)
  • Attachment 3 (PDF)
  • Attachment 4 (PDF)
• 10ADM-04 - Elimination of the Personal Interview Requirement for Medicaid and Family Health Plus Applicants (PDF)
  • Attachment 1 (PDF)
  • Attachment 2 (PDF)
  • Attachment 3 (PDF)
  • Attachment 4 (PDF)
• 10ADM-05 - Revised DOH-4220: Access NY Health Care Application and Release of DOH-4495A: Access NY Supplement A (PDF)
  • Attachment 1 Application (PDF)
  • Attachment 1 Fact Sheet (PDF)
  • Attachment 1 Instruction (PDF)
  • Attachment 1 Checklist (PDF)
  • Attachment 2 Supplement A (PDF)
  • Attachment 3 (PDF)
  • Attachment 4 (PDF)
  • Attachment 5 (PDF)
• 10ADM-06 Standardized Financial Maintenance Requirements for Medicaid Applicants/Recipients (PDF)
  • Attachment (PDF)
• 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)
• 10ADM-08 - Childrenacute;s Health Insurance Program Reauthorization Act (CHIPRA)of 2009: Citizenship Documentation Requirements (PDF)
  • Attachment 1 (PDF)
  • Attachment 2 (PDF)
• 10ADM-09 - Reimbursement of Paid Medical Expenses Under 18 NYCRR §360-7.5(a) (PDF)
  • Attachment 1 (PDF)
  • Attachment 2 (PDF)
  • Attachment 3 (PDF)
  • Attachment 4 (PDF)