If you don’t get re-certified by Medicaid, you can lose your coverage under SelectHealth. Remember, every year you must re-apply for Medicaid coverage.
Review and complete the Medicaid application form.
Sign, date, and submit the application form along with any supporting proof to:
Member Services – Eligibility Unit
220 East 42nd Street, 3rd Floor
New York, NY 10017
It is very important that you complete this application process prior to your coverage ending.
Medicaid will send you an application form within 90 days of when your Medicaid coverage will end. You will also receive a letter from SelectHealth with instructions for how to renew your Medicaid coverage. If you do not receive this information, please contact Member Services at 1-866-469-7774 (TTY: 711) 8 am — 6 pm, Monday – Friday.