NYS Contracted Health Plan Network Adequacy Standards

Network Adequacy Standards can be found at:

New York State has reviewed the networks of all contracted health plans for availability, accessibility of services, and adequacy.

To see if a specific provider participates with a specific managed care organization, please visit https://pndslookup.health.ny.gov/.

Health Plan Plan Type Offers an appropriate
range of preventive,
primary care, specialty
services, and Long
Term Services
and Supports (LTSS) that
is adequate for the
anticipated number of
enrollees for the
services area.		 Maintains a network of
providers that is
sufficient in number,
mix, and geographic
distribution to meet the
needs of the anticipated
number of enrollees
in the service area.
Aetna Better Health Partial ☒ ☒
AgeWell New York Partial ☒ ☒
AgeWell New York FIDA FIDA ☒ ☒
Empire BlueCross BlueShield HealthPlus MLTC,
formerly HealthPlus, an Amerigroup Company		 Partial ☒ ☒
Empire BlueCross BlueShield HealthPlus MAP,
formerly HealthPlus, an Amerigroup Company		 MAP ☒ ☒
ArchCare Community Life Partial ☒ ☒
ArchCare Senior Life PACE ☒ ☒
Catholic Health-LIFE PACE ☒ ☒
CenterLight Healthcare PACE PACE ☒ ☒
Centers Plan for Healthy Living Partial ☒ ☒
Centers Plan for FIDA Care Complete FIDA ☒ ☒
Complete Senior Care PACE ☒ ☒
Eddy SeniorCare PACE ☒ ☒
Elderplan, Inc. MAP MAP ☒ ☒
HomeFirst, a product of Elderplan, Inc. Partial ☒ ☒
Elderplan FIDA Total Care FIDA ☒ ☒
Elderwood Health Plan Partial ☒ ☒
Erie Niagara d/b/a Kalos Health Partial ☒ ☒
Evercare Choice Partial ☒ ☒
Extended MLTC, LLC Partial ☒ ☒
Fallon Health Weinberg MLTC Partial ☒ ☒
Fallon Health Weinberg PACE PACE ☒ ☒
Fidelis Care at Home Partial ☒ ☒
Fidelis Medicaid Advantage Plus MAP ☒ ☒
GuildNet Partial ☒ ☒
GuildNet Gold MAP ☒ ☒
GuildNet Gold Plus Fida FIDA ☒ ☒
Hamaspik Choice, Inc. Partial ☒ ☒
Healthfirst CompleteCare MAP ☒ ☒
Healthfirst AbsoluteCare FIDA FIDA ☒ ☒
iCircle Care Partial ☒ ☒
Independence Care System Partial ☒ ☒
Independent Living for Seniors d/b/a ElderONE PACE ☒ ☒
Integra MLTC, Inc. Partial ☒ ☒
MetroPlus MLTC Partial ☒ ☒
MetroPlus FIDA FIDA ☒ ☒
Montefiore Diamond Care MLTC Partial ☒ ☒
PACE CNY PACE ☒ ☒
Partners Health Plan FIDA-IDD ☒ ☒
Prime Health Choice LLC Partial ☒ ☒
RiverSpring at Home Partial ☒ ☒
RiverSpring FIDA FIDA ☒ ☒
Senior Health Partners
A Healthfirst Company		 Partial ☒ ☒
Senior Network Health, LLC Partial ☒ ☒
Senior Whole Health of New York MLTC Partial ☒ ☒
Senior Whole Health of New York MAP MAP ☒ ☒
Senior Whole Health FIDA FIDA ☒ ☒
Total Senior Care, Inc. PACE ☒ ☒
United Healthcare Personal Assist Partial ☒ ☒
VillageCareMAX Partial ☒ ☒
VillageCareMAX Full Advantage FIDA FIDA ☒ ☒
VillageCare MAX Medicare Total Advantage MAP ☒ ☒
VNA Homecare Options, LLC Partial ☒ ☒
VNSNY CHOICE Managed Long Term Care Partial ☒ ☒
VNSNY CHOICE Total MAP ☒ ☒
VNSNY CHOICE FIDA Complete FIDA ☒ ☒
Wellcare Advocate MLTC Partial ☒ ☒

To see if a specific provider participates with a specific managed care organization, please visit https://pndslookup.health.ny.gov/.