VNS Health MLTC Forms & 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.
Member Handbook Insert: New York Independent Assessor – Initial Assessment Process
Find an up-to-date list of in-network providers in your community. Search results are printable.
Forms and Personal Health Materials
Authorization for Release of Health Information Form (DOH 5032)
Authorization for Access to Patient/Member Information Through a Health Information Exchange Organization
Member Rights and Responsibilities Booklet
Includes information on Member Bill of Rights and Responsibilities, Patient Self-Determination Policies, Making Decisions About Your Medical Care Planning in Advance For Your Medical Treatment