Get Ny Dss-486t 1991-2025

The NY DSS-486T, also known as the Medical Report for Determination of Disability, is a crucial form for individuals applying for Disability Medicaid. This guide provides step-by-step instructions on how to complete the form online, ensuring that all required sections are filled out accurately and comprehensively.

Follow the steps to complete the NY DSS-486T online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the 'Case Number' in the designated field at the top of the form. Ensure that all information is accurate and matches supporting documents.
3. In the 'Agency's Name and Address' section, provide the complete details of the agency handling the case. This will assist in identifying the correct office responsible for processing the application.
4. Enter the 'Social Security Number' of the patient, followed by their sex, and complete their address including city, state, and zip code.
5. Fill in the patient's date of birth accurately to ensure proper identification.
6. Under 'Medical Report', the physician should complete the requested items in detail, including diagnoses and current medications. Focus on both the limitations and remaining capabilities of the patient.
7. Complete the 'Current Findings' section, including measurements for height and weight. Blood pressure should also be recorded here.
8. Indicate whether the impairment has lasted or is expected to last for a year or more. Ensure that 'Yes' or 'No' is checked, and provide additional details if 'No'.
9. In the 'Patient Compliance' section, indicate compliance with medical treatment. If 'No', please specify the reasons.
10. Review the body systems section, marking 'Normal' or 'Abnormal' accordingly for each system. Use the provided pages to offer detailed information where necessary.
11. Complete the exertional and non-exertional functions section, circling the appropriate physical exertion ranges for the patient.
12. Provide additional information as necessary in the remarks section, summarizing any relevant findings from laboratory or imaging studies.
13. Once all fields are filled out, users can save changes, download the completed form, print it for submission, or share it as required.

Complete the NY DSS-486T online today to ensure your application for Disability Medicaid is processed efficiently.