Forms & Resources for Enrollees

Forms

Physician Attestation for Mileage Reimbursement — Individual Appointments opens a new window
Mileage Reimbursement — Multiple Appointments opens a new window
Authorization to Release Protected Medicaid Member Information to a Third Party opens a new window

Resources

NYS DOH Travel Reimbursement & Long-Distance Travel Policy Manual opens a new window
[New– effective for travel beginning January 1, 2021]
MAS Contact Center
Scheduling Guidelines
511NY opens a new window | New York Traffic, Travel and Transit Information
Department of Health opens a new window
Fair Hearing opens a new window
NY Connects opens a new window
Office of the NYS Medicaid Inspector General opens a new window
Medicaid Updates opens a new window
NYS Medicaid Program: Transportation Manual Policy Guidelines opens a new window

Man with Pencil and Form Checkboxes

For More Information on Public Transit, please email us: publictransitsupport@medanswering.com