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Medicaid Managed Care Plans2021-04-16T18:47:53-04:00

Patient & Family Guide

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

home-healthcare-nurse-discusses--patients-medication

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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Provider Name Plan Type Coverage
Affinity Health Plan, Inc. MMC Medicaid
Metroplus Health Plan, Inc. MMC Medicaid
HealthNow NY, Inc. (Community Blue) MMC Medicaid
Capital District Physician’s Health Plan MMC Medicaid
HIP of Greater NY MMC Medicaid
HIP Westchester MMC Medicaid
HIP Nassau MMC Medicaid
Independent Health Association MMC Medicaid
Healthplus HP, LLC MMC Medicaid
United HealthCare of NY, Inc. MMC Medicaid
Excellus MMC Medicaid
MVP, Inc. MMC Medicaid
HealthFirst PHSP, Inc MMC Medicaid
Fidelis Care New York MMC Medicaid
Fidelis Care New York MMC Medicaid
Molina Healthcare of New York Inc. MMC Medicaid
Healthplus HP LLC HARP Medicaid
Affinity Health Plan – Enriched Plan HARP Medicaid
Capital District Physician’s Health Plan HARP Medicaid
Excellus – Blue Option Plus – HARP HARP Medicaid
Healthfirst PHSP Person Wellness Plan HARP Medicaid
HIP of Greater NY HARP Medicaid
Independent Health’s MediSource
Connect – HARP
HARP Medicaid
MVP Harmonious Health Care Plan –
HARP
HARP Medicaid
Metroplus Health Plan Inc. HARP Medicaid
HealthierLife HARP Medicaid
Molina Healthcare Plan of NY HARP Medicaid
United Healthcare of New York HARP Medicaid

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

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

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, speciality health needs like dental and physical therapy, and Medicare services.

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Provider Name Plan Type Coverage Service Area by County Age Requirement Handbook
ArchCare Senior Life PACE Medicaid Medicare Private Pay Bronx, New York, Richmond, Westchester 55 and older
CenterLight Healthcare PACE PACE Medicaid Medicare Private Pay NYC (All boroughs), Nassau, Suffolk, Westchester 55 and older

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 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.