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  • Access Ny Health Care Mailing Address Form

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ACCESS NY HEALTH CARE Child Health Plus / Family Health Plus / Medicaid / PCAP / WIC PLEASE READ the entire application and INSTRUCTIONS before you fill it out. Print clearly in blue or black ink.

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Telephone: (855) 355-5777. Fax: (855) 900-5557. Online: .nystateofhealth.ny.gov. In Writing: New York State of Health. P.O. Box 11729. Albany, New York 12211.

By Phone: (800) 541-2831. By e-mail: 1095B@health.ny.gov. By mail: NY State of Health, P.O. Box 11774, Albany, NY 12211.

Claims Submission Professional service providers may submit their claims to NYS Medicaid using electronic or paper formats. Providers are required to submit an Electronic/Paper Transmitter Identification Number (ETIN) Application and a Certification Statement before submitting claims to NYS Medicaid.

Medicaid Program Important Phone Numbers New York Medicaid Choice 1–800–505–5678. New York State Department of Health – Medicaid Managed Care.

Medicaid Program Important Phone Numbers New York Medicaid Choice 1–800–505–5678. New York State Department of Health – Medicaid Managed Care.

Call the NY State of Health Customer Service Center at 1-855-355-5777.

Each month in which you need Medicaid services, bring in, send or fax (if available in your county) your paid or unpaid medical bills to your local department of social services. Only send these bills when they are equal to or more than the amount of your excess income.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232