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Including people with disabilities? Yes No 7. Does the main exterior entrance door used by persons with mobility disabilities to access public spaces meet the following standards? 32 inches clear opening. Yes 18 inches of clear wall space on the pull side of the door, next to the handle. Yes The threshold edge is no greater than 1/4 inch high or if beveled, no greater than 3/4 inches high. Yes The door handle is no higher than 48 inches high an.

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How to fill out the Dear MetroPlus Provider, online

The Dear MetroPlus Provider form is essential for ensuring compliance with the Americans with Disabilities Act (ADA) requirements in healthcare settings. This guide provides step-by-step instructions for filling out the form online to help healthcare providers meet accessibility standards.

Follow the steps to complete the form accurately and efficiently.

  1. Click ‘Get Form’ button to access the form and open it in your document editor.
  2. Begin by printing your name and title, along with the date, in the designated fields at the top of the form.
  3. Provide your signature in the space provided, ensuring it matches your printed name.
  4. Fill out your address and specialty in the respective sections.
  5. Answer each question regarding accessibility features in your facility by selecting 'Yes' or 'No'. Be thorough and honest in your assessments.
  6. For questions about parking and pathways, provide detailed counts and descriptions when prompted.
  7. Once all questions are answered, review your responses for completeness and accuracy.
  8. After finalizing the form, save your changes and choose to download or print the document.
  9. Return the completed form either by mailing it in the enclosed envelope or by faxing it to the specified number.

Complete your documentation online today to ensure compliance and promote accessibility.

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MetroPlusHealth serves eligible New Yorkers with health care at little to no cost. We are over 700,000 members strong across New York City.

MetroPlus UltraCare (HMO D-SNP) is a Medicaid Advantage Plus plan designed for people who are dual eligible for Medicare and full Medicaid, live in New York City, and need long-term care services such as home care and personal care.

One-Time Online Payment MARKETPLACE (QHP) MEMBERS: Call 1-855-809-4073 (TTY: 711) CHILD HEALTH PLUS MEMBERS: Call 1-800-303-9626 (TTY: 711) MANAGED LONG-TERM CARE (MLTC): Call 1-855-355-6582 (TTY: 711)

Claims for all members can be submitted electronically using MetroPlusHealth Emdeon Payer ID# 13265.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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