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DSS-4362 NYS DEPARTMENT OF SOCIAL SERVICES NYS PEDIATRIC PATIENT REVIEW INSTRUMENT for Care At Home Waiver Program Date I. 6 ATTACHMENTS available on-line The New York State Department of Social Services Division of Medical Assistance has received approval from the Federal Health Care Financing Administration HCFA to implement the use of the Pediatric Patient Review Instrument PPRI Form DSS-4362 in the Care at Home I and II Medicaid Model Waiver .

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