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Plan Materials

VNS Health MLTC Forms and Materials

Looking for more in-depth information about the VNS Health MLTC health plan? You’ll find it here. If you have questions about any of the materials listed here, call Member Services at 1-855-282-4642 (TTY: 711), Monday–Friday, 9 am–5 pm.

Plan Information

Member Handbook

Member Handbook Insert:
Non-Emergency Transportation is Now Covered by Medicaid

Last updated: February 21, 2024

Member Handbook Insert:
New York Independent Assessor – Initial Assessment Process

Member Handbook Insert:
MLTC Will Remove Service Limits for PT, OT, and ST

Provider Directory

Online Provider Search Tool

Find an up-to-date list of in-network providers in your community. Search results are printable.

Provider Directory (PDF)

If you need a directory in a printable format, see the PDFs below.
Forms and Personal Health Materials

Authorization for Release of Health Information Form (DOH 5032)

Health Information Exchange Fact Sheet and Form

Health Care Proxy

Member Rights and Responsibilities Booklet

This booklet includes information on Member Rights, Patient Self-Determination Act, Making Decisions About Your Medical Care, Planning in Advance for Your Medical Treatment and Consumer Directed Personal Assistance Statement.

Notice of Non-Discrimination Practices

Plan Brochure

VNS Health MLTC Plan Brochure