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Chart Comparing Medicaid Home Care Programs in New York State
Comparison of Home Care Programs.pdf
Prepared by Selfhelp Community Services, Inc.
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23 Nov, 2009
27 kb
Downloads: 10394
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HRA 1995 Memo - M11q Not Stale if Submitted within 30 Days of Medical Examination
Memo- M-11q not stale-dated if CASA delay 30+ days.pdf
Memo can be used to refute CASA insistence that you must obtain and submit a new M11q, if the one you submitted was signed by the doctor and submitted within 30 days after the medical examination of the client.
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15 Sep, 2009
51 kb
Downloads: 6350
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Miller v. Bernstein settlement, Supreme Court, N.Y. County, May 11, 1978
Miller v. Bernstein.pdf
At paragraph 7 of the Order, HRA agrees to ensure that its procedures shall determine an applicant's eligibility for home care services within 30 days of submission of the physician's order (now known as the M11q).
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18 May, 2009
208 kb
Downloads: 8671
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HRA Instructions for Completing Nurse's Assessment Visit Report Form M-27r
HRA Instructions M27r 2002.pdf
HRA Instructions issued in August 2002 for filling out M-27r form (also posted on this website), issued pursuant to the settlement in Mayer v. Wing that required consideration of the span of time during which need arises for Ambulation, Transfer and Toileting, notwithstanding the pre-printed task time on the M-27r.
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18 May, 2009
562 kb
Downloads: 7881
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Form M-27r - NYC HRA Nurse's Assessment Visit Report (8/07/02)
Nurses Assessment Visit report used in NYC.PDF
This copy of the form was completed by NYC HRA for an in-service training conducted by HRA for nurses that do these assessments. Thus this is a model form. Also see the HRA Instructions for the form.
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18 May, 2009
365 kb
Downloads: 12667
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Consumer Directed Assistance Program Offers Greater Autonomy to Recipients of Home Care
CDPAP NYSBA article.pdf
Article published in NYS Bar Association Journal, January 2003, written by Valerie J. Bogart, Esq.
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18 May, 2009
67 kb
Downloads: 14536
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Westchester County Medical Recommendation for Personal Care Services - Form # 1050
1050-Westchester Physicians Order.doc
This is the form that a doctor should complete to request Medicaid personal care services from the Westchester County DSS. Revised November 2007.
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15 May, 2009
90 kb
Downloads: 9916
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Q-Tips - Tips for completing the M-11q Form - Español
Q-tips_Esp.pdf
This memo by Selfhelp gives tips for successfully completing the Form M-11q to request personal care services in NYC. This version was translated into Spanish by the Legal Aid Society.
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20 Mar, 2009
64 kb
Downloads: 14542
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Continuation Page for Form M-11q
M-11q Continuation.dot
This template for Microsoft Word lets you easily accommodate comments that are too long to fit in the space provided on the M-11q form.
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20 Mar, 2009
25 kb
Downloads: 7766
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Homecare Reimbursement Worksheet
Reimbursement Worksheet.xlt
This Excel template was created by Selfhelp to duplicate the worksheet used by the NYC Homecare Reimbursement Unit. Having it in Excel makes it easier to complete, but it prints out to look exactly like the one distributed by the City.
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19 Feb, 2009
21 kb
Downloads: 11647
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