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Metroplus authorization request form

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The document provides a comprehensive overview of various healthcare services and their corresponding fax numbers for authorization requests, including Medicaid, Medicare, personal care services, and durable medical equipment. It outlines the process for submitting requests, including options for urgent requests, new requests, and pre-certifications. Additionally, it specifies required information such as member details, provider information, service levels, and necessary clinical documentation.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (95 Votes)
2018	4.2 Satisfied (60 Votes)

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Can I use MetroPlus in other states?

Nonemergency care. Some plans give you access to network providers outside your state. They will cover you as long as you go to a healthcare provider in that network.

Is Medicare and MetroPlus the same?

MetroPlus UltraCare (HMO-DSNP) is a Medicaid Advantage Plus plan designed for people who are dual eligible for Medicare and full Medicaid, live in New York City, and need long-term care services such as home care and personal care.

How do I submit a claim to MetroPlus?

For claims: 1-855-371-9228.

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Is MetroPlus a government agency?

About MetroPlus Health Plan A wholly-owned subsidiary of NYC Health + Hospitals, the nation's largest public health system, MetroPlus is the plan of choice for over half a million New Yorkers.

Get the up-to-date metroplus authorization request form 2025 now

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How to change Metroplus authorization request form online

See more metroplus authorization request form versions

Complete this form in 5 minutes or less

Got questions?

How can I create an eSignature on my [KEY] from Google Chrome?

How do you get [KEY] for my state?

Can I use MetroPlus in other states?

Is Medicare and MetroPlus the same?

How do I submit a claim to MetroPlus?

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Is MetroPlus a government agency?

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