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New York City Human Resources Administration (HRA) – Medical Assistance Program Centralized Surplus Unit (MAP CSU) fax number

(917) 639-0645

Medical Assistance Program Centralized Surplus Unit (MAP CSU)

Used for: Submit medical bills to the MAP Centralized Surplus Unit by fax to reduce surplus spend-down; the unit processes the bills and issues determinations about Medicaid coverage.

Fax destination details

Department
Medical Assistance Program Centralized Surplus Unit (MAP CSU)
Purpose
Submit medical bills to the MAP Centralized Surplus Unit by fax to reduce surplus spend-down; the unit processes the bills and issues determinations about Medicaid coverage.
Form
MAP-931y — MAP-931y Surplus Fax Medical Bills
Voice phone
1-888-692-6116

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.

Fill MAP-931y with case name, case number, CIN, and other required fields, then fax all medical bills to 917-639-0645 at the Medical Assistance Program Centralized Surplus Unit. Include current monthly surplus amount and requested months of coverage.

Official form instructions are published as a downloadable file on the organization's website.

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