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Get Doh 4220 Fillable Form

Aff INFORMATIONAL LETTER TRANSMITTAL: 09 OHIP/INF-2 DIVISION: Office of Health Insurance Programs TO: Commissioners of Social Services SUBJECT: SUGGESTED DISTRIBUTION: DATE: March 23, 2009 Revised DOH-4220: ACCESS NY Healthcare Application Local District Commissioners Medical Assistance Staff Public Assistance Staff Staff Development Coordinators CONTACT PERSON: Local District Liaison Upstate: (518)474-8887 New York City: (518)417-4500 ATTACHMENTS: DOH-4220, rev. 05/08, Access.

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