MLTSS Materials

We are here to help you understand your benefits. Click on the links below for more information. You’ll need to have Adobe Reader to see these files. Download Adobe Reader for free here.

Please note, these materials and resources are effective January 1, 2018.

MLTSS Handbook – ENGLISH

MLTSS ID Card

MLTSS Certificate of Coverage

MLTSS Certificate of Coverage – Spanish

Additional Materials & Resources

NextLevel Health Pharmacy Prior Authorization Form


NextLevel Health Drug Formulary

NextLevel Health Authorized Representative Form for Grievances & Appeals

NextLevel Health CI Intake Form