NYS Contracted Health Plan Network Adequacy Standards

Medicaid Managed Care, HIV Special Needs Plan,
Health and Recovery Plan (HARP)

Network Adequacy and Access Standards for Behavioral Health Services (10 NYCRR 98-5) (PDF)

Network Adequacy contractual requirements for the Medicaid Managed Care, HIV Special Needs Plan, or Health and Recovery Plan (HARP) can be found in Section 21 of the Model Contract.

Guidelines for Managed Care Organization (MCO) Service Delivery Networks (PDF)

New York State reviews the networks of all Medicaid Managed Care/HIV Special Needs Plan/Health and Recovery Plan contracted managed care organizations for availability, accessibility of services, and adequacy.

To see if a specific provider participates with a specific managed care organization, please visit the NYS Provider & Health Plan Look-Up website.