Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with New York City Human Resources Administration (HRA) – CASA Central Intake, Home Care Services Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
New York City Human Resources Administration (HRA) – CASA Central Intake, Home Care Services Program fax number
(917) 639-0676
Central Intake (Home Care Services Program – CASA)
Used for: Submit initial eligibility requests and reauthorizations, NYIA outcome notices, and M11Q forms to Central Intake for system registration; HRA conducts social assessments and approves/denies plan of care.
Fax destination details
- Department
- Central Intake (Home Care Services Program – CASA)
- Purpose
- Submit initial eligibility requests and reauthorizations, NYIA outcome notices, and M11Q forms to Central Intake for system registration; HRA conducts social assessments and approves/denies plan of care.
- Form
- M11Q — M11Q forms
- Address
- 88 Third Ave, 3rd Floor, Brooklyn, NY 11217
- Voice phone
- (718) 250-5631
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Not publicly published in the sources; contact Central Intake for submission details.
Sources and verification
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