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Farewell New York FIDA
1991 MARCUS AVENUE, STE M201
LAKE SUCCESS, N.Y. 11042×CARDHOLDER NAME
CARDHOLDER ADDRESS 1
CARDHOLDER ADDRESS 2
CARDHOLDER CITY, STATE, Participant Services: 18665868044
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How to fill out fida - new york
How to fill out fida - new york
01
To fill out FIDA - New York, follow these steps:
02
Gather all necessary information and documents, such as personal identification, Medicaid information, and medical history.
03
Visit the official FIDA - New York website or contact the FIDA program office to obtain the application forms.
04
Carefully read and understand the instructions provided with the application forms.
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Fill out the application forms accurately and completely, providing all the required information.
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Attach any supporting documents requested in the application forms, such as proof of residency or income.
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Review the filled application forms and supporting documents for any errors or missing information.
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Sign and date the completed application forms.
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Submit the application forms and supporting documents to the designated FIDA program office or through the provided submission method.
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Wait for a notification or confirmation from the FIDA program office regarding the application status.
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Follow up with the FIDA program office or contact them if you have any questions or concerns during the application process.
Who needs fida - new york?
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FIDA - New York is specifically designed for individuals who meet the following criteria:
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- Must be eligible for Medicare and New York State Medicaid.
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- Must be age 21 or older.
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- Must reside in one of the eligible counties in New York.
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- Must require community-based long-term care services, such as nursing home-level care, but prefer to live at home or in the community.
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- Must be able to safely reside in the community with the support of FIDA services.
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- Must be willing to receive all Medicaid and Medicare services through the FIDA program.
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If you or someone you know meets these criteria, they may be eligible for FIDA - New York.
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What is fida - new york?
FIDA - New York stands for Fully Integrated Duals Advantage - New York. It is a managed care program designed to provide coordinated healthcare services to individuals who are eligible for both Medicare and Medicaid.
Who is required to file fida - new york?
Healthcare providers and organizations participating in the FIDA - New York program are required to file.
How to fill out fida - new york?
Filing for FIDA - New York can be done through the designated online portal or by submitting the necessary forms via mail.
What is the purpose of fida - new york?
The purpose of FIDA - New York is to improve the quality of care and outcomes for dual eligible individuals by ensuring coordination of services and providing a person-centered approach to healthcare.
What information must be reported on fida - new york?
Providers must report information related to the services provided, patient outcomes, and payment received under the FIDA - New York program.
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