Managed Long-Term Care Plan Directory

  • Directory is also available in EXCEL (XLSX) format.
Name Plan Type Coverage Age Requirement Service Area by County Mailing Address/Phone Handbook Provider Directory Drug Formulary Ownership & Control
Aetna Better Health Partial Medicaid 21 Years or Older Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Suffolk 101 Park Avenue, 15th Floor
New York, New York 10178
(855) 456-9126
https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/newyork/ny_member_handbook.pdf https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/provider-directories/Vol1%20Aetna%20NY01%20Accessible%20PaperDirectory.pdf Not a Covered Benefit https://www.aetnabetterhealth.com/ny/board
Anthem Blue Cross and Blue Shield HP Partial Medicaid 18 Years or Older Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Richmond (Staten Island), Suffolk, Westchester 1985 Marcus Avenue, Suite 150
Lake Success, New York 11042
(855) 661-0002
https://www.anthem.com/ny/medicaid/managed-long-term-care https://www.anthem.com/ny/medicaid/search-providers Not a Covered Benefit https://www.anthembluecross.com/ny/medicaid/contact-us
Centers Plan for Healthy Living Partial Medicaid 21 Years or Older Bronx, Erie, Kings (Brooklyn), Nassau, New York (Manhattan), Niagara, Queens, Richmond (Staten Island), Rockland, Suffolk, and Westchester 75 Vanderbilt Avenue
Staten Island, New York 10304
(855) 270-1600
https://www.centersplan.com/plans/mltc/managed-long-term-care-materials https://www.centersplan.com/plans/mltc/managed-long-term-care-materials Not a Covered Benefit https://www.centersplan.com/about/what-is
HomeFirst, a product of Elderplan, Inc. Partial Medicaid 18 Years or Older Bronx, Dutchess, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Putnam, Queens, Richmond (Staten Island), Rockland, Sullivan, Ulster, Westchester 55 Water Street, 46th Floor,
New York, New York 10041
(877) 891-6447
https://www.elderplan.org/medicare-advantage-plan-options/plan-materials/homefirst-plan-materials/ https://elderplan.providerlenz.com/home Not a Covered Benefit https://www.elderplan.org/elderplan/disclaimers/
Fidelis Care at Home Partial Medicaid 18 Years or Older Statewide 25-01 Jackson Avenue
PO Box 19166
Long Island City, New York 11101
(800) 688-7422
https://www.fideliscare.org/Member/Manage-Your-Plan/Member-Resources https://www.fideliscare.org/Find-A-Doctor#/search Not a Covered Benefit https://www.fideliscare.org/About-Us
Hamaspik Choice Partial Medicaid 18 Years or Older Bronx, Dutchess, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Putnam, Queens, Richmond (Staten Island), Rockland, Suffolk, Sullivan, Ulster 58 Route 59, Suite #1
Monsey, New York 10952
(855) 552-4642
https://8392017.fs1.hubspotusercontent-na1.net/hubfs/8392017/MLTC%20Member%20handbook%20march%202024.pdf https://www.hamaspik.com/directory-search Not a Covered Benefit https://www.hamaspik.com/about
iCircle Care Partial Medicaid 18 Years or Older Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Cortland, Delaware, Erie, Genesee, Herkimer, Livingston, Madison, Monroe, Niagara, Oneida, Onondaga, Ontario, Orleans, Oswego, Otsego, Schuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, Yates 860 Hard Rd.
Webster, New York 14580
(844) 424–7253
https://icirclecny.org/for-members/ https://icirclecny.org/for-members/ Not a Covered Benefit https://icirclecny.org/about-us/
Kalos Health Partial Medicaid 18 Years or Older Chautauqua, Erie, Genesee, Monroe, Niagara, Orleans 2424 Niagara Falls Blvd.
Niagara Falls, New York 14304
(800) 894-2464
https://www.kaloshealth.org/wp-content/uploads/2021/12/12-01-21-Member-Handbook.pdf https://www.kaloshealth.org/wp-content/uploads/2024/03/KH_Provider_Directory_March_2024.pdf Not a Covered Benefit https://www.kaloshealth.org/about-us/kalos-health-leadership-team/
MetroPlus MLTC Partial Medicaid 21 Years or Older Bronx, Kings (Brooklyn), New York (Manhattan), Richmond (Staten Island) Queens 50 Water Street, 7th Floor
​New York, NY 10004
(855) 355–6582
https://metroplus.org/wp-content/uploads/2023/11/MBR-23.133-MLTC-Member-Handbook_FINAL_021424_complete.pdf https://metroplus.org/members/find-a-doctor/ Not a Covered Benefit https://metroplus.org/about-us/leadership/
Nascentia Health Partial Medicaid 18 Years or Older Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orleans, Oswego, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Tioga, Tompkins, Warren, Washington, Wayne, Wyoming, Yates 1050 West Genesee Street
Syracuse, New York 13210
(888) 477-4663
https://nascentiahealth.org/managed-long-term-care/member-information/#handbook https://nascentiahealth.org/managed-long-term-care/member-information/#directories Not a Covered Benefit https://nascentiahealth.org/about-nascentia-health/board-of-directors/
RiverSpring at Home Partial Medicaid 18 Years or Older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island), Suffolk, Westchester 80 West 225th Street
Bronx, New York 10463
(800) 370-3600
https://riverspringathome.org/wp-content/uploads/2024/03/MLTC-Member-Handbook-approved_typos-corrected-no-highlights.pdf https://riverspringhealthplans.org/provider-directory/ Not a Covered Benefit https://riverspringhealthplans.org/about-us/leadership/
Senior Health Partners
A Healthfirst Company
Partial Medicaid 18 Years or Older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island), Westchester 100 Church St, 18th Floor
New York, New York 10007
(800) 633-9717
Senior Health Partners Member Handbook https://hfdocfinder.org Not a Covered Benefit https://healthfirst.org/about-us
Senior Whole Health of New York MLTC Partial Medicaid 18 Years or Older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Suffolk, Westchester 15 Metrotech Center, 11th Floor
Brooklyn, New York 11201
(877) 353-0185
https://www.molinahealthcare.com/members/ny/en-us/mem/Swh/member-materials-and-forms.aspx https://molina.sapphirethreesixtyfive.com/?ci=ny-medicare&network_id=69&geo_location=33.9571,-118.4041&locale=en Not a Covered Benefit Investor Relations | Molina Healthcare Inc.
VillageCareMAX Partial Medicaid 18 Years or Older Bronx, Kings (Brooklyn), New York(Manhattan),Putnam, Queens Richmond (Staten Island), Weschester 112 Charles Street. 2ndFloor
New York, New York 10014
(800) 469-6292
VillageCareMAX Member Handbook VillageCareMAX Provider Directory Not a Covered Benefit https://www.villagecaremax.org/who-we-are
VNSNY Health MLTC Partial Medicaid 18 Years or Older Albany, Bronx, Columbia, Delaware, Dutchess, Erie, Fulton, Greene, Herkimer, Kings (Brooklyn), Madison, Monroe, Montgomery, Nassau, New York (Manhattan), Oneida, Onondaga, Orange, Otsego, Putnam, Queens, Rensselaer, Richmond (Staten Island), Rockland, Saratoga, Schenectady, Schoharie, Suffolk, Sullivan, Ulster, Warren, Washington, and Westchester 220 E 42nd Street
New York, New York, 10017
(888) 867- 6555
Member Handbook: VNS Health MLTC Forms and Materials - VNS Health | Health Plans (vnshealthplans.org) Provider Search - VNS Health MLTC (vnshealthplans.org) Not a Covered Benefit No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. § 455.104. Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations.
Anthem HealthPlus Full Dual Advantage LTSS MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), New York (Manhattan), Nassau, Orange, Queens, Richmond (Staten Island), Rockland, Suffolk, Westchester 1985 Marcus Avenue, Suite 150
Lake Success, New York 11042
(833) 713-1080
https://shop.anthem.com/medicare/quote/ma-plan-documents?planId=5059&state=NY&brand=ABCBS&role=consumer&locale=en_US https://shop.anthem.com/medicare/quote/ma-plan-documents?planId=5059&state=NY&brand=ABCBS&role=consumer&locale=en_US https://shop.anthem.com/medicare/quote/ma-plan-documents?planId=5059&state=NY&brand=ABCBS&role=consumer&locale=en_US https://www.anthembluecross.com/ny/medicaid/contact-us
Centers Plan for Medicaid Advantage Plus (HMO D-SNP) MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island), Rockland 75 Vanderbilt Avenue
Staten Island, New York 10304
(833) 274-5627
https://www.centersplan.com/plans/map/2024-map-materials https://www.centersplan.com/plans/map/2024-map-materials https://www.centersplan.com/plans/map/2024-map-materials https://www.centersplan.com/about/what-is
Elderplan Plus Long-Term Care MAP Medicaid Medicare 18 Years or older Bronx, Dutchess, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Putnam, Queens, Richmond (Staten Island), Rockland, Westchester 55 Water Street, 46th Floor
New York, New York 10041
(877) 771‑1119
https://www.elderplan.org/medicare-advantage-plan-options/plan-materials/ https://elderplan.providerlenz.com/home https://www.elderplan.org/member-benefits/elderplan-benefits/prescription-drugs/ Disclaimers - Elderplan
WellCare Fidelis Dual Plus (HMO D-SNP) MAP Medicaid Medicare 18 Years or older Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga. Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Greene, Hamilton, Kings (Brooklyn), Lewis, Montgomery, Nassau, New York (Manhattan), Niagara, Oneida, Onondaga, Orange, Orleans, Oswego, Otsego, Putnam, Queens, Rensselaer, Richmond (Staten Island), Rockland, St. Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Suffolk, Sullivan, Tioga, Ulster, Warren, Washington, Westchester, Wyoming, Yates 25-01 Jackson Avenue
PO Box 19166
Long Island City, New York 11101
(800) 247-1447
https://www.fideliscare.org/Member/Manage-Your-Plan/Member-Resources https://www.fideliscare.org/Find-A-Doctor#/search https://www.fideliscare.org/WellcareMedicare/Prescription-Drug-Information https://www.fideliscare.org/About-Us
Hamaspik Medicare Choice MAP Medicaid Medicare 18 Years or older Bronx, Dutchess, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Putnam, Queens, Richmond (Staten Island), Rockland, Sullivan, Ulster, Westchester 58 Route 59, Suite #1
Monsey, New York 10952
(855) 552-4642
https://www.hamaspik.com/members/choice#resources https://www.hamaspik.com/directory-search https://magellanrx7.adaptiverx.com/webSearch/index?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B6875F1A032E96BF8F6 https://www.hamaspik.com/about
Healthfirst CompleteCare MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Richmond (Staten Island), Rockland, Sullivan, Westchester 100 Church St, 18th Floor
New York, New York 10007
(888) 260-1010
Complete Care Member Handbook https://hfdocfinder.org https://healthfirst.org/completecare-plan#2024 https://healthfirst.org/about-us
MetroPlus Health Ultracare MAP Medicaid Medicare 18 Years or Older Bronx, Kings (Brooklyn), New York (Manhattan), Richmond (Staten Island) Queens 160 Water St.
New York, New York 10038
(855) 355–6582
https://metroplus.org/plans/medicare/ultra-care/ https://metroplus.org/members/find-a-doctor/ https://metroplus.org/members/pharmacy/ https://metroplus.org/about-us/leadership/
RiverSpring MAP MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island), Westchester 80 West 225th Street
Bronx, New York 10463
(800) 362-2266
https://riverspringmap.org/wp-content/uploads/2024/03/2023-MAP-Member-Handbook-final_submit_DOH-Approved.pdf https://riverspringhealthplans.org/provider-directory/ https://riverspringmap.org/wp-content/uploads/2024/02/H6776_Formulary002CY24_C_FINAL-updated-02-26-2024.pdf https://riverspringhealthplans.org/about-us/leadership/
Senior Whole Health of New York MAP MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Richmond (Staten Island), Rockland, Westchester 15 Metrotech Center, 11th Floor
Brooklyn, New York 11201
(833) 671-0440
https://www.molinahealthcare.com/members/ny/en-us/mem/Swh/Medicare/MAP/plan-materials.aspx https://molina.sapphirethreesixtyfive.com/?ci=ny-medicare&network_id=69&geo_location=33.9571,-118.4041&locale=en Formulary Search (medicareplanrx.com) Investor Relations | Molina Healthcare Inc.
VillageCare MAX Medicare Total Advantage MAP Medicaid Medicare 18 Years or older Bronx, Kings (Brooklyn), New York(Manhattan), Queens 112 Charles Street, 2nd Floor
New York, New York 10014
(800) 469-6292
VillageCareMAX Medicare Total Advantage Plan's Member Handbook VillageCareMAX Medicare Total Advantage Plan's Provider Directory VillageCareMAX Medicare Total Advantage Plan's Formulary VillageCareMAX Medicare Total Advantage Plan's Ownership & Control
VNSNY Health Total MAP Medicaid Medicare 18 Years or older Albany, Bronx, Kings (Brooklyn), Nassau, New York, Queens, Rensselaer, Richmond (Staten Island), Schenectady, Suffolk, Westchester 220 E 42nd Street
New York, New York, 10017
(866) 783-1444
Member Handbook: VNS Health Total 2024 Plan Materials - VNS Health | Health Plans (vnshealthplans.org) Provider Search - VNS Health Total (vnshealthplans.org) Your Prescription Drug Benefits - VNS Health | Health Plans (vnshealthplans.org) No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. § 455.104. Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations.
UnitedHealthcare of New York, Inc. MAP Medicaid Medicare 18 Years or older Erie, Genesee, Monroe, Niagara, Orleans and Wyoming One Penn Plaza, 8th Floor
New York, New York 10119
(866) 547-0772
Not available https://www.uhc.com/communityplan/assets/plandocuments/2024/providerdirectories/en/2024-NY-Erie-H3387-013-000-PD-EN.pdf Not available https://www.uhc.com/about-us/leadership
ArchCare Senior Life PACE Medicaid Medicare 55 years or older Westchester, Bronx, New York, Richmond, Rockland (Partial) 205 Lexington Avenue, 3rd Floor
New York, New York 10016
(866) 263-9083
https://www.archcare.org/wp-content/uploads/2023/08/Archcare-PACE-Member-Handbook_040620-COLOR_proof-2.pdf https://www.archcare.org/health-plans/senior-life/for-members/provider-search-tool/ https://www.archcare.org/wp-content/uploads/2024/03/PACE_2024-Formulary-030124.pdf https://www.archcare.org/health-plans/senior-life/for-members/
Catholic Health-LIFE PACE Medicaid Medicare 55 years or older Erie 55 Melroy Ave., Ground Floor
Lackawanna, New York 14218
(716) 819-5102
https://www.chsbuffalo.org/sites/default/files/files/services/pace/catholic-health-life-member-handbook-0323.pdf https://www.chsbuffalo.org/sites/default/files/files/services/pace/CH%20LIFE%20Provider%20List.pdf PACE Plan Utilizes CMS Formulary Reference https://www.chsbuffalo.org/about-us
CenterLight Healthcare PACE PACE Medicaid Medicare 55 years or older Bronx, Kings, Nassau, New York, Queens, Richmond (staten Island) , Suffolk (Partial), Westchester 136-65 37th Avenue
Flushing, New York 11354
(833) 252-2737 (TTY 711)
https://www.centerlighthealthcare.org/ea https://www.centerlighthealthcare.org/find-a-provider https://www.centerlighthealthcare.org/formulary https://www.centerlighthealthcare.org/leadership
Complete Senior Care PACE Medicaid Medicare 55 years or older Niagara 1302 Main Street
Niagara Falls, New York 14301
(716) 285-8248
https://completeseniorcare.org/wp-content/uploads/2021/05/CSC-Enrollment-Agreement-Member-Handbook.pdf https://completeseniorcare.org/wp-content/uploads/2021/05/participanting-provider-network-May-2021.pdf PACE Plan Utilizes CMS Formulary Reference https://completeseniorcare.org/staff/
Eddy SeniorCare PACE Medicaid Medicare 55 years or older Albany (Partial), Rensselaer(Partial), Schenectady (Partial) 1938 Curry Road
Schenectady, New York 12303
(855) 376-7888
https://www.sphp.com/assets/documents/find-a-service/senior-services/pace/eddyseniorcareenrollmenthandbook.pdf https://www.sphp.com/assets/documents/eddy-seniorcare/01-esc-provider-network-jan-2024-rotterdam-inclusive-all-snf.pdf PACE Plan Utilizes CMS Formulary Reference https://www.sphp.com/find-a-service-or-specialty/senior-services/resources/information-for-participants-providers
Fallon Health Weinberg PACE PACE Medicaid Medicare 55 years or older Erie, Niagara 461 John James Audubon Pkwy
Amherst, New York 14228
(716) 810–1895
(855) 665–1113
https://fallonweinberg.org/-/media/FHWeinberg/MemberMaterials/FHWPACEhandbook.ashx https://fallonweinberg.org/en/Plans/PACE/Our-Doctors PACE Plan Utilizes CMS Formulary Reference http://fallonweinberg.org/en/about.aspx
Independent Living for Seniors d/b/a ElderONE PACE Medicaid Medicare 55 years or older Monroe, Ontario, Wayne 2066 Hudson Avenue
Rochester New York 14617
(585) 922–2800
(855) 457–4636 (Main)
https://www.elderone.org/-/media/elderone/elderone-open-enrollment-2023_eng.pdf https://www.elderone.org/-/media/files/seniors/31574-rrh-elderone-directory-digital.pdf PACE Plan Utilizes CMS Formulary Reference Media & Public Relations | Rochester Regional Health
PACE CNY PACE Medicaid Medicare 55 years or older Onondaga 100 Malta Lane
North Syracuse, New York 13212
(888) 728-7223
https://pacecny.org/resources/pace-resources/ https://pacecny.org/resources/pace-resources/ PACE Plan Utilizes CMS Formulary Reference https://pacecny.org/about-us/leadership/
Total Senior Care, Inc. PACE Medicaid Medicare 55 years or older Allegany, Cattaraugus, Chautauqua 519 North Union St.
Olean, New York 14760
(716) 379–8474
(866) 939–8613
Total Senior Care handbook Provider-List-for-Participants-02222021.pdf (totalseniorcare.org) PACE Plan Utilizes CMS Formulary Reference About - Total Senior Care