Skip to main content

VNSNY CHOICE MLTC Forms & Materials

Looking for more in-depth information about the VNSNY CHOICE 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-AT-CHOICE (1-855-282-4642) (TTY: 711), 9 am – 5 pm, Monday – Friday.

Plan Information

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

Member Handbook Insert: Important Change for Arranging and Using Your Transportation Benefit (Provided by LogistiCare)

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 PDF’s below.

Forms and Personal Health Materials

Authorization for Release of Health Information Pursuant to HIPAA

Authorization Access to Patient/Member Info

Health Care Proxy

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

Notice of Privacy Practices

Notice of Non-Discrimination Practices

Plan Brochure