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 |