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Kings New York online Form SS-4: What You Should Know

If you need more help, please call us at or ext. 5131. This form is not required when you are applying for State programs that are not Medicaid. This form is required if you are applying for Medicaid  New York State Department of Health, the Department of Health, is the administrative agency charged with the administration, supervision, control, and quality of all health care services and related programs within the State of New York. ASH oversees, develops, implements, directs, and provides for the delivery of health care and related services through the operation of a system of health care delivery, financing, delivery, and quality in all aspects of the human and social, health, and long-term care system, including health insurance, Medicaid, and other health and human services programs and projects. You will need to apply in person. Please call the Social Services Department at to schedule an appointment. You may also fax a completed application to. You do not need a new insurance card but only the information required to complete this form. In this FormSS-1 application, you will need to indicate any: Medicare Supplement, Medical Assistance, Child Care Benefit, or the New York State Child Health Insurance Program If you do not indicate the following if applying for Childcare, you will need to include any additional information you have received about these programs when submitting the application on Child. In general, you should not ask for additional forms unless you have questions about the status or renewal of these programs. Filing a Child Care Benefit Claim (for children age 7-17) — NY SLA For assistance with locating the right Child Care Benefit (also called Family Caregiver Leave and Family Care Travel benefits) benefits for your New York State family or small business, you can use the NY SLA Family Care Benefit Finder. For assistance with locating the right Child Care Benefit (also called Family Caregiver Leave and Family Care Travel benefits) benefits for your New York State family or small business, you can use the NY SLA Family Care Benefit Finder. For assistance with locating the right DEBT (Food Stamps) benefits for your New York State family or small business, you can use the NY SLA DEBT Finder.

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