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PPL CDPAP TimeSheet - Paper version (REVISED 4-5-25)(fillable fields improved)
PPL Paper-Timesheet-Official 4-4-25 (fill-able.2).pdf
This is now the official PPL paper timesheet for CDPAP Personal Assistants to complete if they cannot access or use PPL's timekeeping app. The form says it is for temporary use thru 4/26/25. After that date they will need an exception from PPL not to use the Time4Care app. This form has an email address, mailing address and fax number to submit the completed timesheet, which must be signed by the consumer. Instructions for filling out the form are posted at https://nylag.org/wp-content/uploads/2025/04/Submitting-Paper-Timesheet-Instructions.pdf. The original non-fillable version of the timesheet is posted at https://nylag.org/wp-content/uploads/2025/04/Paper-Timesheet-Mockup_v10.pdf. For more information see https://nylag.org/engesser/
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11 Apr, 2025
216 kb
Downloads: 5468
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Nassau County Physician's Request for Personal Care Aide and Orders to the Service Agency (07-2020)
Physician's Order Nassau County Form 517 - (2020).pdf
Form for doctor to complete to request Medicaid personal care services and CDPAP from the Nassau County DSS. Revised July 2020.
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26 Aug, 2021
1.46 mb
Downloads: 11507
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Healthfirst MAP Plan Letter to Member Affected by Mistake in Failing to Schedule Hearing - March 2021
Redacted IAHO healthfirst letter 3-23-21.pdf
Redacted sample of a letter sent in late March 2021 to 789 members of the Healthfirst Medicaid Advantage Plus plan explaining the plan's mistake in failing to forward their case for a hearing, as required in the new Integrated Appeal process for MAP plans that began 2020. Read about this new appeal process and more about this letter at http://www.wnylc.com/health/entry/225/
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30 Mar, 2021
139 kb
Downloads: 2382
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"New Restrictive Rule Regarding Medicaid and Power of Attorney" - NY Law Journal Article 8/15/19
New Restrictive Rule Regarding Medicaid and Power of Attorney _ New York Law Journal.pdf
"New Restrictive Rule Regarding Medicaid and Power of Attorney" - NY Law Journal Article 8/15/19 by Daniel Fish, Reprinted with permission from the Aug. 15, 2019 edition of the New York Law Journal
© 2019 ALM Media Properties, LLC. All rights reserved. Further duplication without permission is prohibited, contact 877-257-3382 or reprints@alm.com
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22 Oct, 2019
161 kb
Downloads: 3446
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Finley v. City of Santa Monica - California Court Case on SNT and Section 8
Finley-Court decision.5.25.11.pdf
Construing 24 C.F.R. §§5.603 and 5.609, California Superior Court held that distributions from an SNT are not countable income for purposes of Section 8 if the source of the SNT corpus was itself exempt.
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21 Jan, 2018
1.41 mb
Downloads: 3266
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Letter from North Shore LIJ MLTC Plan to members, dated 9/22/17, that plan closing 12/31/17
North Shore LIJ - Letter to members closing redacted.pdf
Letter from North Shore LIJ MLTC Plan to members, dated 9/22/17, that plan closing 12/31/17. Informs member that unless chooses and enrolls in a different plan before 11/10/17, will be auto-assigned to Centers Plan for Health Living effective 1/1/18.
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09 Oct, 2017
2.04 mb
Downloads: 5193
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Senior Health Partners MLTC Provider Directory
SHP Provider Directory 7.12.xls
Obtained by Selfhelp in August 2012; not available on Senior Health Partners website.
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10 Jan, 2013
201 kb
Downloads: 11316
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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: 9752
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