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Directory Results for 91-ADM-16 Reimbursement Ceilings for Social Services for the Period October 1, 1990 through September 30, 1991. This Administrative Directive is to advise social services districts of the closed-ended Title XX Federal Funds for the Federal Fiscal Yea to 91-ADM-22 Medical Assistance Utilization Threshold Program. The purpose of this Directive is to in social services districts of the implementation of a Utilization Threshold Program for Medical Assistance (MA) recipients - ocfs ny