Now that you’ve enrolled in a health plan through NY State of Health, you may have some questions about how to use your health plan coverage. Here are some resources with answers to the questions you may have:
Welcome to the NY State of Health Assistor Tool Kit.
On this page you will find specific tools and resources to help you reach and assist consumers, and also stay up-to-date with the latest information from NY State of Health. Many of these resources can also be downloaded and printed.
Welcome to the NY State of Health Broker Tool Kit.
The administrative guides below will provide information for agents, brokers, and other assistors as they help small groups in the Small Business Marketplace. They provide general guidance and define important policies. The guides may be downloaded and printed or used as desktop resources.
Brokers who wish to sell health insurance through NY State of Health (NYSOH) Marketplace, must be currently licensed by the Department of Financial Services (DFS) and certified by NY State of Health (NYSOH) marketplace. Effective August 31, 2020 NYSOH broker certification courses will be administered by NYSOH completely online and free of charge. The old NYSOH registration process on the DFS self-service portal will be shut off beginning August 28, 2020.
Under federal rules, state Marketplaces are required to undergo an annual independent external financial and programmatic audit. NY State of Health's Programmatic and Financial Audits are available here.
On July 23, 2020, the Department of Health issued its invitation to New York State Licensed Home Care Services Agencies (LHCSAs) to participate in the “NY State of Health Private Pay Home Care Services Program Pilot” in the counties of Nassau, Suffolk, and Westchester in 2021.
This Invitation is part of New York State Department of Health’s implementation of the recommendation by the Medicaid Redesign Team II, which was included in the SFY 2020-21 Enacted Budget, to