New York State Department of Health
Bureau of
Early Intervention Electronic Mailing List
Translated
Insurance Documents
Dear
Colleague:
The Department
of Health is pleased to announce the availability of translated versions of
required documents used to collect insurance information from families in the
Early Intervention Program (EIP) related to insurance use, rights and
protections.
The Child
Insurance Information Form, Child Insurance Information Form Instructions
and Parent Notice Regarding Insurance have been translated into the six
most common non-English languages spoken in the state, as identified through
the Governor’s Office.
These
languages are: Spanish, Common Chinese, Haitian-Creole, Italian, Korean and
Russian.
Service
Coordinators are required to use the Child Insurance Form to collect insurance
information from families of children who have been referred to the EIP, and to
provide a copy of the Parent Notice Regarding Insurance to parents to explain
the use of public and private insurance in the EIP and the rights and
protections afforded to parents.
Child
Insurance Information Form B, Child Insurance Information Form Instructions and
Parent Notice Regarding Insurance (non-English versions): Spanish, Chinese,
Italian, Russian, Korean, Haitian Creole can be accessed at:
https://www.health.ny.gov/community/infants_children/early_intervention/memoranda.htm
Please contact
beipub@health.ny.gov should you have
any questions regarding these documents.