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Home Care
Consumer Directed Assistance Program Offers Greater Autonomy to Recipients of Home Care Download
CDPAP NYSBA article.pdf
Article published in NYS Bar Association Journal, January 2003, written by Valerie J. Bogart, Esq.
18 May, 2009 67 kb Downloads: 14443
Westchester County Medical Recommendation for Personal Care Services - Form # 1050 Download
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.
15 May, 2009 90 kb Downloads: 9845
Q-Tips - Tips for completing the M-11q Form - Español Download
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.
20 Mar, 2009 64 kb Downloads: 14411
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: 7682
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: 11557
Home Care Reimbursement Form Download
Reimbursement Form.pdf
This form is used by the NYC Homecare Reimbursement unit
19 Feb, 2009 11 kb Downloads: 16613
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