Formularios y requisitos del paciente

Para calificar para nuestro cuidado

Cada cliente cumple con esto antes de que comiencen los servicios. Nuestro equipo de admisión le ayuda si está en proceso.

• New York State resident in our service area (NYC, Long Island, or Westchester).
• Enrolled in Medicaid, Medicare, an accepted commercial plan — or eligible for self-pay.
• Medicaid number (CIN) ready for intake — no Medicaid yet? Your Social Security number and date of birth are enough to get started.
• Doctor's order (M-11Q) or care manager referral on file before services begin.
• Completed in-home assessment by an S&A Registered Nurse.
• Health care proxy or power of attorney on file if a family member will represent the client.
• The exact document package varies by the services you're applying for and whether you already receive services — our intake team gives you a personalized checklist.