NYSOS Forms
Download and complete the following NYSOS forms.
- • Membership Application
- • HIPAA Business Associates Agreement (Word version)
- • HIPAA Business Associates Agreement (Plain Text version)
Managed Care
The links below will take you to the appropriate web site to download and use forms related to managed care issues to include:
Medicare
Click below for access to the Center for Medicare & Medicaid Fee Schedule "Lookup" page where you can get payment and policy information on CPT codes and services.
• CMS Fee Schedule "Lookup"
Medicaid
Click below for access to the Medicaid Provider Manuals page where you can get information on all Medicaid coding and administrative policies including Vision Care.
• Medicaid Provider Manuals
Workers Compensation & No Fault Information
These links will take you to the Department of Motor Vehicles Visual Acuity Form and common Workers Compensation forms.
Templates - Carrier Information Requests & Rebuttal Letters
Click on the links below for a collection of template letters you may find helpful in the day to day activities of your practice.
- • Request for Fee Schedule
- • Request for Carrier Claims Policy
- • Sample Patient Waiver Form
- • Response to Improper Bundling