VNS Health MLTC Forms and Materials
Looking for more in-depth information about the VNS Health MLTC health plan? You’ll find it here. If you have questions about any of the materials listed here, call Member Services at 1-855-282-4642 (TTY: 711), Monday–Friday, 9 am–5 pm.
Plan Information
Member Handbook
English, Spanish and Korean versions of the handbook include all of the inserts found on this page, excluding the E-Notice insert.
Member Handbook Insert: Non-Emergency Transportation is Now Covered by Medicaid
Dental Benefit Insert
Member Handbook Insert: New York Independent Assessor – Initial Assessment Process
Member Handbook Insert:
MLTC Will Remove Service Limits for PT, OT, and ST
Provider Directory
Online Provider Search Tool
Find an up-to-date list of in-network providers in your community. Search results are printable.
Provider Directory (PDF)
If you need a directory in a printable format, see the PDFs below.
Forms and Personal Health Materials
Authorization for Release of Health Information Form (DOH 5032)
Health Information Exchange Fact Sheet and Form
Health Care Proxy
Member Rights and Responsibilities Booklet
This booklet includes information on Member Rights, Patient Self-Determination Act, Making Decisions About Your Medical Care, Planning in Advance for Your Medical Treatment and Consumer Directed Personal Assistance Statement.