(This Policy Directive Replaces PD #01-16)
This policy directive has been revised as follows:
* References to the now-obsolete Application/Job Profile form (W-680B) have been replaced with references to the Statewide Common Application (LDSS-2921).
* References to the now-obsolete Important Notice for Medicaid Applicants and Recipients (M-42p) have been replaced with references to the What You Should Know About Social Services Programs booklet (LDSS-4148B).
* The address for the transmittal of the Certification for Retroactive Medicaid Coverage (M-42q) form has been updated. Form M-42q has been revised to include the current NYC logo and terminology.
* The address for the transmittal of the Transmittal of Medical Bills (M-42r) has been updated. Form M-42r has also been revised to include the current NYC logo and terminology. "Public Assistance criteria" has been changed to "Medical Assistance criteria" throughout the form.