NYS 1115 Waiver
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Waitlist · Form 1115/W

Section I of I

Article I. Subject:

Join the waitlist

Únase a la lista de espera

Please read first

Demand for the nutrition benefit is currently higher than the screening spots available to us, so new sign-ups join a waitlist. We'll contact you the moment a spot opens — honestly, we can't promise when that will be. Joining takes about two minutes, your place is saved in order, and you can leave the list at any time.

Optional

Where you live in New York

If your Medicaid card has a health plan logo (Fidelis, Healthfirst, MetroPlus, EmblemHealth, etc.), it's Managed care.

By saving a spot you agree NourishNY may call, text, or email you about the waitlist. We don't share your information, and you can ask to be removed at any time.