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Directory Results for 97-ADM-10 Presumptive Medicaid Eligibility for Nursing Facility, Hospice, or Home Health Care Services. This Administrative Directive (ADM) ins social services districts of required action as a result of the enactment of Chapter 693 of to 97-ADM-13 Procedure for Requesting Approval of Local Equivalent s. The purpose of this directive is to introduce updated and simplified procedures for obtaining approval for the use of local equivalent forms in place of