Providing health care information by telephone Forms for Nassau
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FAQ
(Supplement to Access NY Health Care Application DOH-4220) This Supplement must be completed if anyone who is applying is: 2022 Age 65 or older 2022 Certified blind or certified disabled (of any age) 2022 Not certified disabled but chronically ill 2022 Institutionalized and applying for coverage of nursing home care.
The completed signed M11Q Form should be sent within 30 calendar days after the medical examination to the following address: NYC HRA Home Care Services Program, Central Intake, 132 W. 125th St.,5th Fl., New York City, New York 10027.
GLEN COVE, N.Y. - Nassau County Health Commissioner Dr. Larry Eisenstein is now in the spotlight for what the minority legislators are calling a flip-flop when it comes to backing the new county executive's anti-mask regime.
Call the Medicaid helpline at 1-888-692-6116 to update your address or complete and fax the MAP-751K form to fax 1-917-639-0837.
The best course of action is to contact your current Medicaid agency as soon as you know you will be moving to another county to inquire about the proper procedure. Generally, the process to transfer your case to the new county should not take more than 30 days.
You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to. This is to make sure you keep getting Medi-Cal benefits. You should tell your local county office within 10 days of moving to a new county.