Old-hands-on-keyboard

Member Materials and Forms

On this page, you can find important documents related to your Senior Whole Health of New York health plan. Click the links below to download each document.    

2026 Handbooks and Inserts

icon Effective 4/1/26: Interoperability Service Authorization Timeframe Change

2025 Handbooks and Inserts

icon 2025 MLTC Member Handbook- English

icon 2025 MLTC Member Handbook- Bengali

icon 2025 MLTC Member Handbook- Chinese

icon 2025 MLTC Member Handbook- Haitian Creole

icon 2025 MLTC Member Handbook- Korean

icon 2025 MLTC Member Handbook- Russian

icon Effective 9/1/25; Minimum Needs Requirements

icon Effective 3/4/25: Electronic Noticing

icon Effective 1/1/25: Social Care Network Insert 

icon Effective 1/1/25: Social Care Network

2024 Handbooks and Inserts

icon MAP Non-emergency Medical Transportation 30 Day Member Insert

icon MAP Dental Services

icon MLTC Non-emergency Medical Transportation 30 Day Member Insert

icon Dental Services

2022 Handbooks and Inserts

icon Senior Whole Health of New York Member Handbook

icon Effective May 16, 2022 - Change in Initial Assessment Process for New York Independent Assessor


General Information

Notice of Privacy Practices
Disenrollment Rights
Dental Services Providers 

Member Forms

icon Appointment of Representative Form
icon Health Care Proxy

Medicare Member Education

icon 2024 Guide to Getting Quality Health Care
icon 2025 Guide to Getting Quality Health Care

 

CMS-0057 Prior Authorization Annual Report

This report shows how prior authorization requests are handled, such as how many were approved or denied and how quickly decisions were made. To find out if a specific service needs prior authorization, members and providers should check the plan’s Prior Authorization Guide or use the Prior Authorization Lookup Tool.

icon Adobe Acrobat Reader is required to view the file(s) above. Download a free version.