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.

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.

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.

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.