dss forms
DSS Forms
DSS Form Downloads: Work First Program Referral to Qualified Professional in Substance Abuse Work First Program Substance Use Behavioral Indicator Check List
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Forms in English
Forms in English ; DAAS 20201 Special Assistance Second Party Review Form APPLICATIONS Form, docx ; DAAS 20202 Special Assistance Second Party Review Form
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Medicaid Transportation Policy Manual
Ambulance providers may submit the Bureau of Emergency Medical Services. (BEMS) Reportable Incident Form (DOH-4461) in place of the NYSDOH NEMT Accident and.
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