How to Reach the Office of Health Insurance Programs-Managed Care

You can contact us by sending e-mail or call the number listed below for your area of concern. You may also write to:

    NYSDOH Office of Health Insurance Programs Managed Care
    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 and Managed Care 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