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  1. 17 Ιουν 2010 · Since 2010, the New York State Department of Health Medicaid application form is called the Access NY Application or Health Insurance Application or form DOH-4220. Download the most recent version of the form at this link. (As of 02-06-24, the form was last updated in January 2023.)

  2. If you recieve Medicaid through NY State of Health, you may fill out form DOH-5085 and submit to NY State of Health.

  3. 6 Φεβ 2024 · Since 2010, the New York State Department of Health Medicaid application form is called the Access NY Application or Health Insurance Application or form DOH-4220.

  4. 30 Ιαν 2024 · Information on how to renew your health insurance can be found here. Apply for NYS Medicaid. Information For Members. Contact NYS Medicaid. Medicaid Programs. New York's Medicaid program provides comprehensive health coverage to more than 7.5 million New Yorkers (as of December 2023.)

  5. This application can be used to apply for Medicaid, the Family Planning Benefit Program, or for assistance paying your health insurance premiums. You can apply for yourself and/or immediate family members living with you.

  6. How do I apply for Medicaid? You can apply for Medicaid in any one of the following ways: Write, phone, or go to your local department of social services. In New York City, contact the Human Resources Administration by calling (718) 557-1399. Pregnant individuals and children can apply at many clinics, hospitals, and provider offices.

  7. You can apply in the following ways: • Online at nystateofhealth.ny.gov. (link is external) • By telephone at 1-855-355-5777 (M-F, 8:00 am to 8:00 pm; Sat, 9:00 am to 1:00 pm) • In person through one of the Navigator agencies • Mohawk Valley Perinatal Network 315-732-4657. • Access Care and Resources for Health 800-475-2430.

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