How do I get an exemption or exclusion from joining a Managed Care Plan?
Call New York Medicaid CHOICE at 1-800-505-5678 and ask to speak to an Exemption Counselor. They will send you a form. Fill out the form and send it back in the self-addressed envelope they mail you. You will get a decision in a week or two. In some cases, you will have to prove that you are exempt. For example, your doctor may have to fill out a “Chronic Medical Exemption Form” that asks questions about your health and your relationship with your doctor. You should receive a letter from New York Medicaid CHOICE which tells you if you are exempt or excluded. Ask for a Fair Hearing if you disagree with their decision. You have the right to switch Plans for any reason during the first 90 days of your enrollment. After 90 days, you must stay in your Plan for 9 more months before you can change. But you can change Plans anytime if you have a good reason. Call New York Medicaid CHOICE at 1-800-505-5678 to help you change Plans. Ask for a Fair Hearing if you have a problem changing Plans. To
