Medicaid Managed Care Plans High Risk OB Care Management Programs
The New York State Department of Health has compiled a list of the NYS Medicaid Managed Care Plans High Risk OB Care Management Programs including the name and contact information of the primary contact at each health plan's program. This information is to serve as a resource to providers to readily obtain important contact information to access the health plan care management program for high risk pregnancies and any other pregnant health plan members requiring referral support or care assistance.
To view the Medicaid Managed Care Plans High Risk OB Care Management Programs Primary Contact, click on plan name below:
- AmidaCare
- CDPHP
- Empire BlueCross BlueShield HealthPlus
- Excellus BCBS
- Fidelis
- Healthfirst
- Highmark BCBS WNY
- HIP (Emblem Health)
- Independent Health Association
- MetroPlus
- MetroPlus Partnership in Care (SNP)
- MVP
- Molina Healthcare of New York
- UnitedHealthcare Community Plan
- VNSNY
AmidaCare
Contact: Judy Cohn, PATitle: Medical Management Clinical Associate
Pregnancy-Infant Program
Phone: (646) 757-7603
Cell: (917) 622-4228
Fax: (646) 786-1802
Email: jcohn@amidacareny.org
CDPHP
Contact: Jane Wilson, RN, MBATitle: Manager, Care Management
Capital District Physicians' Health Plan
Phone: (518) 641-3358
Email: jane.wilson@cdphp.com
Secondary Contact:
Contact: Julie Laurange, RNTitle: Supervisor Case Management Programs
Capital District Physicians' Health Plan
Phone: (518) 641-3288
Email: julie.laurange@cdphp.com
Empire BlueCross BlueShield HealthPlus
Contact: Susan Disciglio, RNTitle: Manager, Maternal Child Services Case Management
Phone: (646) 596-5681
Fax: (855) 201-8533
Email: susan.disciglio@empireblue.com
Excellus BCBS
Contact: Latoya Mallory, RNTitle: Manager, Maternal Child Care Management Program
Phone: Cell: (585) 622-7368
Email: latoya.mallory@excellus.com
Fidelis
Contact: Erica TrifiloTitle: Supervisor, High Risk Maternity CM
Phone: (716) 564-8609
Email: etrifilo@fideliscare.org Contact: Jennifer Ruffell Title: Manager, Clinical Oversight - FidelisCare
Phone: (585) 498-3094
Email: jruffell@fideliscare.org
Healthfirst
Contact: Sheryl MarkowitzTitle: SVP, Clinical Operations
Phone: (212) 823-2436
Email: smarkowitz@healthfirst.org
Secondary:
Contact: Melissa LaurentTitle: Director, Care Management
Email: mlaurent@healthfirst.org
Highmark BCBS WNY
Contact: Jacqueline M. DeMarco, RN, BSN, CCMTitle: Specialist, Health Management Program Development
Phone: (716) 887-8887
Email: demarco.jacqueline@healthnow.org
HIP (EmblemHealth)
Primary:
Contact: Zita Harrow-Walker, RN, MHA, MBATitle: Director, Care Management
Phone: (646) 447-7519
Mobile: (917) 533-6708
Fax: (212) 519-4953
EmblemHealth
Email: zwalker@emblemhealth.com
Secondary:
Contact: Nicole Wells, MSN, RNTitle: Manager, Care Management
EmblemHealth
Phone: (908) 489-5124
Email: nwells@emblemhealth.com
Independent Health Association
Contact: Joanne ShafferTitle: Director, Case and Disease Management
Phone: (716) 635-4854
Email: joanne.shaffer@independenthealth.com
MetroPlus
Contact: Andrea Zaldivar, Ed.D., MS, ANP-BCTitle: Director of Complex Care/Social Determinants of Health
Address: 50 Water Street, 10th Floor
New York, NY 10004
Office: (212) 908-3041
Email: zaldian@metroplus.org
Secondary contacts:
Contact: Chrandra Arrieta, BSN, RNTitle: High Risk OB Care Manager
Integrated Care Management/SDoH Office: (212) 908-3639 Cell: (646) 627-0416 Email: arrietc@metroplus.org Contact: Shantel Stuart, BSN, RN Title: High Risk OB Care Manager Phone: (212) 908-3045 Cell: (347) 633-5314 Fax: (212) 908-5190 Email: stuarsh@metroplus.org
MetroPlus Partnership in Care (SNP)
Contact: Andrea Zaldivar, Ed.D., MS, ANP-BCTitle: Director of Complex Care/Social Determinants of Health
Address: 50 Water Street, 10th Floor
New York, NY 10004
Office: (212) 908-3041
Email: zaldian@metroplus.org
Secondary contacts:
Contact: Chrandra Arrieta, BSN, RN Title: High Risk OB Care Manager Integrated Care Management/SDoH Phone: (212) 908-3639 Cell: (646) 627-0416 Email: arrietc@metroplus.org Contact: Shantel Stuart, BSN, RN Title: High Risk OB Care Manager Phone: (212) 908-3045 Cell: (347) 633-5314 Fax: (212) 908-5190 Email: stuarsh@metroplus.orgMVP
Contact: Tenley Klouse RN, CCM, BS, CHS, CHWCTitle: MVP Health Care: Little Footprints High Risk Maternity Program
Phone: (866) 942-7966 Ext. 17992
Email: tklouse@mvphealthcare.com
Molina Healthcare of New York
Contact: Michelle Squire, MSN, RN, CCMTitle: Director, Case Management, Medical Case Management Program
Phone: (718) 794-6619
Email: msquire@affinityplan.org Contact: Claire Isaacson
Title: Manager of Case Management for Molina NY Phone: (315) 928-4542
Email: claire.isaacson@molinahealthcare.com
Title: Director, Case Management, Medical Case Management Program
Phone: (718) 794-6619
Email: msquire@affinityplan.org
UnitedHealthcare Community Plan
Contact: Kelly MonahanTitle: Maternal Child Health Program Coordinator NY
UnitedHealthcare Community Plan
Address: 77 Water Street 14th Floor New York, NY 10005
Business Phone: (763) 361-4323
Fax: (844) 881-6461
Email: kelly_monahan@uhc.com
VNSNY
Contact: Ms. Jaime McDonaldPhone: (212) 460-0460
Email: jaime.mcdonald@vnsny.org
