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Directory Results for 91-ADM-24 Personal Care Services Exceptions to the Mandatory Trend Factor for 1991 Medical Assistance Personal Care Services Rates This administrative directive ins social services districts of the conditions under which exceptions to - to 91-ADM-27 Federal Compliance; MA Eligibility Changes Relating to Resource and Income Exemption Standards and Household Size. This Administrative Directive advises social services districts about changes in the Medical Assistance (MA) - ocfs