Member Materials & Forms
We’ve changed our name but not your health plan.
SelectHealth from VNSNY CHOICE is now SelectHealth from VNS Health. Changing our name on all our materials is a big task, so you may continue to see our old name on some items like forms, hand-outs, or flyers for some time to come.
Below you will find the materials and forms you will need as a member of SelectHealth.
You can get a printed copy of SelectHealth Member Materials by calling us at 1-866-469-7774 (TTY: 711), 8 am – 6 pm, Monday – Friday.
NYRx Transition
DownloadCommunity Oriented Recovery and Empowerment (CORE) Services – English
DownloadCommunity Oriented Recovery and Empowerment (CORE) Services – Spanish
DownloadApplied Behavioral Analysis (ABA) Services Covered by NYS Medicaid - English
DownloadApplied Behavioral Analysis (ABA) Services Covered by NYS Medicaid - Spanish
DownloadArticle 29-I Voluntary Foster Care Agency (VFCA) Health Facility Services - English
DownloadArticle 29-I Voluntary Foster Care Agency (VFCA) Health Facility Services - Spanish
DownloadPT, OT, ST Service Limits - English
DownloadPT, OT, ST Service Limits - Spanish
DownloadChildren and Family Treatment and Support Services (CFTSS) - English
DownloadChildren and Family Treatment and Support Services (CFTSS) - Spanish
DownloadCrisis Residence Services for Children and Adults - English
DownloadCrisis Residence Services for Children and Adults - Spanish
DownloadMaximum Copay - English
DownloadMaximum Copay - Spanish
DownloadDiabetes Prevention Program Services - English
DownloadDiabetes Prevention Program Services - Spanish
DownloadGambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs - English
DownloadGambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs - Spanish
Download2023 Applied Behavior Analysis (ABA) Services - English
Download2023 Applied Behavior Analysis (ABA) Services - Spanish
DownloadClick this link to search for the most up to date Provider or Pharmacy near you.
Or download and search by borough below.