Request an application for Medicaid Housekeeping Services or ask home care questions by calling the CASA Office in your borough. ![]() The documentation should also be submitted with the MAP-751W.Ĭonsumer/Provider Request to CHange Informaiton on File (MAP-751W) Medicaid clients who have case changes that require additional documentation should use the MAP-751W form below. Clients can also use the MAP-751K form below to make this change and fax it to 91.Ĭonsumer/Provider Request to CHange Informaiton on File (MAP-751k) Medicaid clients who have lost their EBT cards and have a change of address, should contact the Medicaid helpline to update their contact information at 88 to update their address. During the COVID-19 Emergency, applications may be submitted via fax to 91. Call the HRA Medicaid Helpline at 1-88 for more information or visit a Medicaid Office to apply. HRA accepts applications from residents who are age 65 or over, persons of any age who are living with a disability or blindness, persons who are in receipt of Medicare and are not a parent or caretaker relative of minor children, and former foster young adults under age 26. ![]() HRA's Medical Assistance Program can help New Yorkers who qualify enroll in public health insurance programs like Medicaid. Health Assistance Health Insurance Options
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