Medicaid Managed Care for People with HIV and AIDS

While most people with Medicaid coverage must currently access Medicaid benefits through managed care plans, Medicaid beneficiaries with HIV/AIDS have had the option to enroll in a managed care plan or stay in regular fee-for-service Medicaid.

Beginning in October 1, 2011, most HIV+ Medicaid recipients in New York State will be required to join a Medicaid managed care plan. Individuals may request to stay in regular Medicaid if they qualify for another exemption. This change is only for residents of mandatory counties.

• Medicaid Managed Care for People with HIV
• Implementing Mandatory Managed Care

HIV Special Needs Plans (SNPs)

Medicaid health plan choices for people living with HIV/AIDS

• Frequently Asked Questions (FAQs)
• HIV SNP Health Plans to Choose From
• HIV SNP Model Contract
• HIV SNP Model Member Handbook – Revised October 2015 (PDF)