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  1. Note: All forms are in Portable Document Format (PDF) DOH Form. Title. Also available in the following languages: DOH-4243. Medicaid Cancer Treatment Program. Español (Spanish) DOH-4282. Family Planning Benefit Program Application.

  2. How do I apply for Medicaid? You can apply for Medicaid in any one of the following ways: Write, phone, or go to your local department of social services. In New York City, contact the Human Resources Administration by calling (718) 557-1399. Pregnant individuals and children can apply at many clinics, hospitals, and provider offices.

  3. mybenefits.ny.govmyBenefits

    Report Card Lost or Damaged. Check Your Balance. Am I Eligible? Prescreen for Programs you may be eligible for.

  4. 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 888-692-6116 to update their address. Clients can also use the MAP-751K form below to make this change and fax it to 917-639-0837.

  5. If your Medicaid is with your Local Department of Social Service (LDSS), to order a new Medicaid Benefit Identification Card, please call or visit your LDSS. If your Medicaid is with the Marketplace (NY State of Health) and you need to order a new benefit card please call the call center at 1 (855) 355-5777.

  6. 20 kwi 2023 · If your Medicaid benefit card has been lost or stolen or is damaged or defective, you can get it replaced by filling out an online form or by calling the Human Resources Administration Medicaid Helpline at (888) 692-6116 (this helpline is open 24/7).

  7. 27 kwi 2024 · In New York City, you can call the New York State Department of Health at 1-800-541-2831. By reporting the loss, you can initiate the process of obtaining a replacement card.

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