NEW YORK STATE MEDICAID PROGRAM INFORMATION FOR ALL PROVIDERS MANAGED CARE INFORMATION
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1 NEW YORK STATE MEDICAID PROGRAM INFORMATION FOR ALL PROVIDERS MANAGED CARE INFORMATION
2 Table of Contents PREPAID CAPITATION PLANS (PCP)... 2 COUNTY/DISTRICT CODES... 7 Version June 1, of 7
3 Key: Prepaid Capitation Plans (PCP) Plan Type Abbreviation description Model Contract Link Long Term Care: Partial Capitation pitation_model.pdf LTC Pace Long Term Care: PACE el_contract.pdf Medicaid/Medicare adv_plus_model_contract.pdf FHP Family Health _care_fhp_hiv-snp_model_contract.pdf SNP Special Needs Plan _care_fhp_hiv-snp_model_contract.pdf Mainstream Medical Assistance _care_fhp_hiv-snp_model_contract.pdf antage Medicaid/Medicare advantage_model_contract.pdf Fully Integrated Duals Plan _contract_generic.pdf IDD HARP Fully Integrated Duals Plan Intellectual and Developmental Disabilities gement/_idd Health and Recovery Plan _care_fhp_hiv-snp_model_contract.pdf Affinity Health Plan, Inc. (800) Mainstream Metroplus Health Plan, Inc. (800) Mainstream AA Healthplus HP LLC (800) HARP AC Catholic MLTC - ArchCare Senior Life (866) LTC Pace AF Affinity Health Plan Enriched Plan (800) HARP AG AgeWell New York, LLC (866) TTY (800) AH Aetna Better Health (855) AP Archcare-Catholic Managed LTCS (866) MLTC C HealthNow NY, Inc. (Community Blue) (716) Mainstream C CenterLight HealthCare (877) LTC Pace TTY (800) CC Complete Senior Care (888) LTC Pace TTY (716) CD Capital District Physician s Health Plan HARP CG Capital District Physician s Health Plan (518) (800) Mainstream Version June 1, of 7
4 CH Catholic Health Life PACE (855) TTY (716) CP Centers Plan for Healthy Living (855) TTY (800) LTC Pace CR Crystal Run Healthcare LLC (844) Mainstream E Senior Care Connection (the Eddy) (855) LTC Pace EC Extended MLTC LLC (866) (855) ED Elderplan, Inc dba Homefirst (866) EE Excellus Blue Option - HARP HARP EG KALOS Health (800) EH River Spring at Home (Elderserve) (800) TTY (866) FC AgeWell New York (866) FH Care Complete (800) TTY (800) FI Elderplan Total Care (855) FJ RiverSpring Plan (800) TTY (866) FL Guildnet Gold Plan (800) FM Healthfirst AbsoluteCare Plan (855) FR Metroplus Plan (844) FV VillageCareMAX Full Plan (800) FW VNSNY Choice Complete (866) FY SWH Whole Health (844) FZ Fallon Health Weinberg PACE (855) LTC PACE (TTY 711) GD Fidelis Care at Home (888) TTY (800) GN Guildnet (800) (212) Version June 1, of 7
5 H Senior Health Partners, Inc. (866) HC Hamaspik Choice (855) TTY (877) HF Healthfirst PHSP Person Wellness Plan (866) HARP HI HIP of Greater NY (646) HARP HT,98, HIP of Greater NY (646) Mainstream HW HIP Westchester (646) Mainstream HY HIP Nassau (646) Mainstream IC icircle Service of the Finger Lakes (844) IE Independent Health Association (800) Mainstream IH Independent Health s MediSource HARP Connect - HARP IL Elder One (Independent Living for (855) LTC Pace Seniors) IS PACE CNY (Loretto HMO) (888) LTC Pace IT Integra MLTC, Inc (855) IX Independence Care Systems (877) KP Healthplus HP, LLC (800) Mainstream KX Amerigroup Community Connections (Empire BC/BS Amerigroup Health ) (866) TTY (800) M Evercare Choice, Inc. (Elant Choice) (877) (845) MA MVP Harmonious Health Care Plan - HARP HARP MF Montefiore HMO (855) MH HealthFirst Complete Care (Managed Health, Inc. MAP) (888) TTY (888) MO United HealthCare of NY, Inc. (877) Mainstream MP Metro MLTC (855) TTY (800) MR Excellus (800) Mainstream MT Metroplus Health Plan Inc. (800) HARP Version June 1, of 7
6 MV MVP, Inc. (800) Mainstream MZ Senior Network Health, LLC (888) N Total Aging in Place (Fallon Health (716) (866) Weinberg) NA Niagara Health Plan LLC (866) (d/b/a Elderwood) NC NYS Catholic Health Plan - Fidelis (800) HARP OD Amida Care Inc., (VidaCare, Inc., SN) (646) SNP OM Metroplus Partnership Care SN (800) SNP OZ YourCare Health Plan, LLC (Buffalo (800) Mainstream Comm Health Plan) PC Prime Health Choice (855) TTY (855) PO Partners Health Plan IDD (855) IDD SF HealthFirst PHSP, Inc. (866) Mainstream SP NYS Catholic Health Plan, Inc. (Fidelis) (800) Mainstream SP NYS Catholic Health Plan, Inc. (Fidelis) (800) Mainstream SW Senior Whole Health (877) TN Molina Healthcare HARP TO Molina Healthcare of New York Inc. (315) Mainstream (TONY) TS Total Senior Care Inc. (866) LTC Pace UC United Healthcare of New York (877) HARP UH United Healthcare MLTC (855) TTY 711 VA VNA Homecare Options (855) VC VNS Choice (888) VL Village Senior Services (Village Care (800) Max) VM VillageCareMAX Total Plan (800) VN VNS Choice MA Medicaid VS VNS Choice Select Health SNP (866) SNP WC Wellcare of NY, Inc. (800) Mainstream WN Wellcare of NY, Inc. (212) Version June 1, of 7
7 YD Fidelis Dual (718) Medicaid YF Fidelis Care of NY (877) TTY (800) YG GuildNet, Inc MAP M/M (800) YH Senior Whole Health M/M (877) YI YourCare Health Plan Option HARP YL Elderplan MAP (866) YN VNS Choice M/M (866) TTY 711 YO Empire Blus Cross Blue Shield (866) Health (Amerigroup TTY (800) 855/2880 ) YU United Health Care M/M (866) Medicaid YW Wellcare of NYM/M (866) Medicaid Version June 1, of 7
8 County/District Codes Below is a listing of all the counties and their corresponding district codes. 01 Albany 02 Allegany 03 Broome 04 Cattaraugus 05 Cayuga 06 Chautauqua 07 Chemung 08 Chenango 09 Clinton 10 Columbia 11 Cortland 12 Delaware 13 Dutchess 14 Erie 15 Essex 16 Franklin 17 Fulton 18 Genesee 19 Greene 20 Hamilton 21 Herkimer 22 Jefferson 23 Lewis 24 Livingston 25 Madison 26 Monroe 27 Montgomery 28 Nassau 29 Niagara 30 Oneida 31 Onondaga 32 Ontario Orange 34 Orleans 35 Oswego 36 Otsego 37 Putnam 38 Rensselaer 39 Rockland 40 St. Lawrence 41 Saratoga 42 Schenectady 43 Schoharie 44 Schuyler 45 Seneca 46 Steuben 47 Suffolk 48 Sullivan 49 Tioga 50 Tompkins 51 Ulster 52 Warren 53 Washington 54 Wayne 55 Westchester 56 Wyoming 57 Yates 66 New York City 97 Office of Mental Health Administered 98 Office of Mental Retardation & Developmental Disabilities 99 Breast & Cervical Cancer Treatment Program Version June 1, of 7
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