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Medicaid Managed Care Plans2022-08-09T15:07:27-04:00
Health Plans That Cover Our Services

HEALTH PLANS THAT COVER OUR SERVICES

Patient and Family Guide

Medicaid managed care plans that cover Personal Care Assistance, Home Health Aide Services, and the Consumer Directed Personal Assistance Program (CDPAP).

Health Plans That Cover Our Services

HEALTH PLANS THAT COVER OUR SERVICES

Patient and Family Guide

Medicaid programs that cover Home Health Aide Services and the Consumer Directed Personal Assistance Service Program (CDPAP).

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Patient & Family Guide

Medicare and Medicaid programs covered by Special Touch Home Care.

Both Medicaid and Medicare offer a variety of options to access our community-based service offerings. To get a better understanding of the various Medicaid-funded long-term care options that cover in-home care see the below chart. Here you will be able to review the differences between the various plan types — in addition to this information, we have also included the insurance plans that administer these plans within Special Touch Home Care’s geographic coverage area.

Medicaid Managed Care (MMC)

If you’re a resident of New York State and qualify for Medicaid, you may be eligible for Medicaid Managed Care (MMC). This is a healthcare delivery system in which Medicaid contracts with Managed Care Organizations (MCOs) to deliver and manage your health care services. The key objectives of Medicaid Managed Care are to improve health plan performance and quality—and achieve better outcomes.

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MMC Plans Covered by Medicaid

Affinity Health Plan, Inc.
Metroplus Health Plan, Inc.
HealthNow NY, Inc. (Community Blue)
Capital District Physician’s Health Plan
HIP of Greater NY
HIP Westchester
HIP Nassau
Independent Health Association
Healthplus HP, LLC
United HealthCare of NY, Inc.
Excellus
MVP, Inc.
HealthFirst PHSP, Inc
Fidelis Care New York
Molina Healthcare of New York Inc.

HARP Plans Covered by Medicaid

Healthplus HP LLC
Affinity Health Plan – Enriched Plan
Capital District Physician’s Health Plan
Excellus – Blue Option Plus – HARP
Healthfirst PHSP Person Wellness Plan
HIP of Greater NY
Independent Health’s MediSource
Connect – HARP
MVP Harmonious Health Care Plan
HARP Metroplus Health Plan Inc.
HealthierLife
Molina Healthcare Plan of NY
United Healthcare of New York

Managed Long Term Care (MLTC)

People who have long-term health problems or disabilities may be eligible to enroll with a Managed Long Term Care (MLTC). MLTC is for people who are chronically ill or disabled, and wish to continue living within the comfort of their own home. It may include health services at your home, such as nursing, home health aide, occupational, physical and speech therapies.

You can also receive personal care, such as help with bathing, getting dressed, running errands, and additional services such as home delivered meals, emergency services, and CDPAP. More information about the services covered by MLTC can be found on the New York State Department of Health website here.

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Medicaid Covered MLTC Provider Age Requirement Provider Handbook Service Area by County
Aetna Better Health 21+ View Handbook Bronx, Kings, New York (Manhattan), Queens, Nassau, Suffolk
AgeWell New York 21+ View Handbook Bronx, Kings, New York, Queens, Nassau, Suffolk, Westchester
Empire BlueCross BlueShield HealthPlus MLTC, formerly HealthPlus, an Amerigroup Company 18+ View Handbook New York city (All boroughs) into Nassau, Orange, Rockland, Suffolk, Westchester
ArchCare Community Life 21+ View Handbook NYC (all boroughs), Putnam, Westchester
Centers Plan for Healthy Living 21+ View Handbook NYC (All boroughs), Erie, Nassau, Suffolk, Niagara, Rockland, Westchester
HomeFirst, a product of Elderplan, Inc. 18+ View Handbook NYC (All boroughs) Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester
Extended MLTC, LLC 21+ View Handbook NYC (All boroughs), Nassau, Suffolk
Fidelis Care at Home 18+ View Handbook NYC (All boroughs), all Upstate counties
Integra MLTC, Inc. 18+ View Handbook NYC (All boroughs), Nassau, Suffolk, Westchester
MetroPlus MLTC 21+ View Handbook NYC (All boroughs)
Montefiore Diamond Care MLTC 21+ View Handbook Bronx and Westchester
RiverSpring at Home 18+ View Handbook NYC (All boroughs), Nassau, Suffolk, Westchester
Senior Health Partners A Healthfirst Company 21+ View Handbook NYC (All boroughs) Nassau, Westchester
Senior Whole Health of New York MLTC 21+ View Handbook Bronx, Kings, New York, Queens, Westchester
VillageCareMAX 18+ View Handbook Bronx, Kings, New York, Queens
VNSNY CHOICE Managed Long Term Care 18+ View Handbook NYC (All boroughs), Nassau, Suffolk, Westchester

Medicaid Advantage Plus (MAP)

Medicaid Advantage Plus plans were designed to merge Medicaid and Medicare services together, to better and more efficiently manage both programs. They include all the home care services mentioned in MLTC above, in addition to medical services. To see the spectrum of services covered, you can read this booklet (PDF) prepared by New York Medicaid Choice.

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Medicaid & Medicare Covered MAP Providers Age Requirement Provider View Handbook Service Area by County
AgeWell New York 18+ View Handbook Westchester, Bronx, New York, Kings, Queens, Nassau
Empire BlueCross BlueShield HealthPlus MAP, formerly HealthPlus, an Amerigroup Company 18+ View Handbook New York city (All boroughs) into Nassau, Orange, Rockland, Suffolk, Westchester
Centers Plan for Healthy Living 21+ View Handbook NYC (All boroughs), Nassau, Rckland
Elderplan, Inc. MAP 18+ View Handbook NYC (All boroughs), Nassau, Westchester, Dutchess, Orange, Putnam, Rockland
Fidelis Medicaid Advantage Plus 18+ View Handbook NYC (All boroughs), Albany, Montgomery, Rensselaer, Schenectady
Healthfirst CompleteCare 18+ View Handbook NYC (All boroughs), Nassau, Westchester, Orange, Rockland, Sullivan
Integra Synergy 18+ View Handbook Bronx, Kings, New York, Queens, Nassau
RiverSpring at Home 18+ View Handbook NYC (All boroughs) Nassau,Westchester
Senior Whole Health of New York MAP 65+ View Handbook Bronx, Kings, Nassau, New York, Queens, Westchester
VillageCare MAX Medicare Total Advantage 18+ View Handbook Bronx, Kings, New York, Queens
VNSNY CHOICE Total 18+ View Handbook NYC (All boroughs), Nassau, Suffolk, Westchester

Program for All-Inclusive Care for the Elderly (PACE)

The Program for All-Inclusive Care for the Elderly (PACE) is for those who are 55 years of age or older. It involves Medicaid long-term care services—such as home care and personal care services which Special Touch Home Care provides—as well as social day care, nursing home care, specialty health needs like dental and physical therapy, and Medicare services.

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Medicaid Medicare Private Pay Covered PACE Provider Age Requirement Service Area by County
ArchCare Senior Life 55+ Bronx, New York, Richmond, Westchester
CenterLight Healthcare PACE 55+ NYC (All boroughs), Nassau, Suffolk, Westchester

Disclaimer: The list above represents a starting point for exploring services in New York City. Each reader should independently research the various plans, and speak with their doctor or the individual who is in charge of managing their healthcare.  **Although we do our best to keep this list up to date, plans change frequently, for the most current list visit the New York DOH website.

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