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Fidelis Care Health Benefit Rep (Albany County, NY & Capital …
WebNew York Medicaid can reimburse for eye exams every two years, eyeglasses when medically necessary, and contact lenses (with prior authorization). Certain types of glasses and contacts cannot be prescribed primarily for aesthetics. Any surgical procedures or orthoptic training must receive prior approval. WebPersonal Care Services. Personal Care Benefit Physician's order form (Outside of New York City) DOH 4359 (2010) (PDF) Personal Care Benefit Physician's request form (New York City) Form M-11q (12/2014) (PDF) Transportation. Provider Transportation Application For Members to request non-emergency livery, ambulette, & ambulance transportation (PDF) black history month ppt slides
Manuals and Forms - Fidelis Care
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