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OMM/OCFS/OTDA Materials: ADMs Issued by OTDA

91 ADM-22: Medical Assistance Utilization Threshold Program
I. Purpose
The purpose of this Directive is to inform social services districts of the implementation of a Utilization Threshold Program for Medical Assistance (MA) recipients between the ages of 21 through 64 who are in the Home Relief (HR), HR-related, or HR-Federally non participating Parent (FNP) categories. Utilization thresholds have been established on the number of Physician/Clinic, Pharmacy, and Laboratory services that these recipients can receive under the MA Program. Recipients may apply to the Department of Social Services (Department) for increases in or exemptions from Utilization Thresholds.


Created: 10/28/2004
Updated: 10/29/2004