How to Reach the Office of Health Insurance Programs-Managed Care
You can contact us by sending e-mail to: omcmail@health.ny.gov or call the number listed below for your area of concern. You may also write to:
OHIP DHPCH - One Commerce Plaza, Room 1609
New York State Department of Health
Albany, New York 12237-0094
Important Phone Numbers
| Issue/Concern | Phone (area 518) |
|---|---|
| 1115 Waiver/Partnership Plan | 473-2160 |
| Acquisitions of MCOs | 474-5515 |
| ADA Issues | 473-1134 |
| Applications for Plan Certification | 474-5515 |
| Billing Issues/Problems | 1-800-541-2831 |
| Clinical Guidelines and Standards of Care | 486-6865 |
| Clinical Issues/Policies | 486-6865 |
| Clinical Studies | 486-9012 |
| Complaint Helpline/Quality of Care | 1-800-206-8125 |
| Consumer Services (except complaints) | 473-1134 |
| Continuing Care Retirement Communities(CCRC) | 474-5888 |
| Conversions of MCOs | 474-5515 |
| County Relations | 486-9015 |
| Court-ordered Services | 473-1134 |
| Dental Issues and Managed Care | 473-1134 |
| Disenrollment/Enrollment Policies | 473-1134 |
| Electronic Medicaid Eligibility Verification System (EMEVS) | 1-800-343-9000 |
| Enforcement Actions on MCOs | 474-5515 |
| Enrollment Broker | 473-1134 |
| Enrollment Data, Medicaid/Commercial | 486-9012 |
| Expansions of Managed Long Term Care Plans | 474-5888 |
| External Appeals (State Insurance Dept) | 1-800-400-8882 |
| Financial Reserves Analysis - Managed Long Term Care Plans | 474-6965 |
| Health Plan Qualification Process | 473-4842 |
| HEDIS | 486-9012 |
| HIV Special Needs Plans | 486-1383 |
| IPA Issues | 474-5515 |
| Licensure of MCOs | 474-5515 |
| Managed Care Benefit Package (Covered Services) | 486-9015 |
| Managed Care Systems Design | 486-9015 |
| Managed Long Term Care Contracts | 474-5888 |
| Outreach Information, Guidelines | 486-9015 |
| Medicaid Eligibility Questions | 474-8887 |
| Medicaid Encounter Data System (MEDS) | 474-5050 |
| Medicaid Managed Care Contracts | 473-1134 |
| Medicaid Managed Care Helpline | 1-800-505-5678 |
| Medicaid Rosters | 473-1134 |
| Medicaid/Medicare Capitation | 474-5888 |
| Medical Policies | 486-6865 |
| Medical/Clinical Complaints and Grievances | 486-6865 |
| Medicare Balanced Billing | 474-5888 |
| MMIS questions and complaints | 1 800-343-9000 |
| NCQA Accreditation Report | 486-9012 |
| Outcome Studies | 486-9012 |
| PCP/WMS Questions | 473-1134 |
| Pharmacy Issues | 486-3209 |
| Provider Contract Review - Managed Long Term Care Plans | 474-5888 |
| Provider Network Data Submission | 474-5050 |
| QARR (Quality Assurance Reporting Requirements) | 486-9012 |
| Quality Improvement | 486-9012 |
| Quality Incentive | 486-9012 |
| Rate Setting for Managed Long-Term Care | 473-8822 |
| Rate Setting for Medicaid Managed Care | 473-8822 |
| Readiness Reviews - Managed Long Term Care Plans | 474-6965 |
| Satisfaction Surveys | 486-9012 |
| School Based Health Centers and Managed Care | 473-1134 |
| Supplemental Payment Program for FQHCs | 473-8822 |
| Utilization Review Agents | 474-5515 |
| Workers' Compensation PPOs | 474-5515 |
