The site is updated regularly to meet the ever-growing needs of the New York State provider community. HARPs are Medicaid Managed Care plans that pay for your physical and behavioral health care.

Attached is the template to use for your submission. If you have Medicaid and need help apply for MEDICARE the New York State Department of Health has contracted with several agencies that can help you. A Medicaid plan with a $0 monthly plan premium and low or no copays for doctor visits, lab tests, prescription drugs, hospitalization, urgent care, emergency care, maternity, dental, vision, hearing, wellness, and more. Learn About. New York Medicaid Choice is New York State's managed care enrollment program. The Need and Vision for a New York State Medicaid Managed Care Ombudsman Program | October 2012. Information on the administration of the New York State Medicaid Managed Care Program is also available on this web site The following resources are provided to assist those who are in need of more information about NYS Medicaid pharmacy benefits and Managed Care plans: Summary of Medicaid Preferred Drug and Managed Care Pharmacy Benefit ; New York State (NYS) Medicaid Preferred Drug List The Member Handbook also explains how to get care using our provider network. HARP staff, who specialize in behavioral health (mental health and substance use), are available to listen and work with you. Medicaid services such as pharmacy and dental will continue to be provided through the traditional Medicaid system. A Medicaid plan with a $0 monthly plan premium and low or no copays for doctor visits, lab tests, prescription drugs, hospitalization, urgent care, emergency care, maternity, dental, vision, hearing, wellness, and more. To find a Facilitated Enroller near you, please see the list below of agencies, their contact phone number and … Integra Managed Care is a New York State Managed Long Term Care Plan designed for adults living with long-term disabilities. Sponsored by New York State, this plan is for qualified low-income families and individuals under 65. Individual & Family Plans; Do I Qualify for Long Term Care? For more information on Medicaid Managed Care visit the New York State Managed Care site. These plans provide the majority of Medicaid services such as primary, specialty, ancillary and inpatient services. There are three different programs that makeup the Statewide Medicaid Managed Care . Learn More About MMA and LTC Learn More About … Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. 1 … At Integra, you will have a dedicated team of nurses and social workers who will ensure that your care and services help you live as independently as possible. Reach Us. The New York State Department of Health (NYSDOH) obtains drug formulary information from Medicaid participating managed care plans on a quarterly basis. You are Here: Home Page > Managed Care > Choosing a Health Plan Choosing a Health Plan To choose the right plan for you and your family, first find out what health plans are available in your county. The following resources are provided to assist those who are in need of more information about NYS Medicaid pharmacy benefits and Managed Care plans: Summary of Medicaid Preferred Drug and Managed Care Pharmacy Benefit ; New York State (NYS) Medicaid Preferred Drug List MMCP, HIV/SNP, and HARP … Updated transitional care policy for new managed care enrollees issued May 2009. In New York state, people often receive long term care through Medicaid. Contact one of our Facilitated Enrollers who can help you apply for MEDICARE. The creation of the State's "Care Management for All" initiative represents a sea change in how and where people with disabilities or chronic illnesses access care through the Medicaid program. You must be 21 or older to join a HARP, and be eligible for Medicaid managed care. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. MLTC is a special type of health insurance that only covers long term care services. Medicaid Preferred Drug List and Managed Care Plan Information. Molina Healthcare's MMC plan offers comprehensive, free or low cost health coverage for eligible residents of Onondaga, Cortland and Tompkins counties.

Statewide Medicaid Managed Care. Medicaid Managed Care Plans (MMCP), HIV/SNP, and Health and Recovery Plans (HARP) who are contracted with Health Homes are required to submit an Engagement and Enrollment (Outreach) Optimization Proposal to Enroll High Risk Members to the Department of Health for approval no later than August 31, 2018. Please note NYSDOH publishes the drug formulary information as it is received.
There are also options for those who have Medicare. Read the Medicaid Managed Care Member Handbook to learn more about your benefits, as well as utilization management procedures, and specific benefit inclusions and exclusions.