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WNYLC Online Resources / Home / Downloads / Medicaid / Home Care
Home Care
Continuation Page for Form M-11q Download
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.
20 Mar, 2009 25 kb Downloads: 7592
Homecare Reimbursement Worksheet Download
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.
19 Feb, 2009 21 kb Downloads: 11452
Home Care Reimbursement Form Download
Reimbursement Form.pdf
This form is used by the NYC Homecare Reimbursement unit
19 Feb, 2009 11 kb Downloads: 16486
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