PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form LR-207B
for the current year.
Form LR-207B Medicaid Information Fax Form - New York City
What Is Form LR-207B?
This is a legal form that was released by the New York City Department of Social Services - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form LR-207B?
A: Form LR-207B is the Medicaid Information Fax Form.
Q: What is the purpose of form LR-207B?
A: The purpose of form LR-207B is to gather Medicaid information.
Q: Who is required to fill out form LR-207B?
A: Healthcare providers in New York City are required to fill out form LR-207B.
Q: Is form LR-207B specific to New York City?
A: Yes, form LR-207B is specific to New York City's Medicaid program.
Form Details:
- Released on March 8, 2019;
- The latest edition provided by the New York City Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form LR-207B by clicking the link below or browse more documents and templates provided by the New York City Department of Social Services.
