Provider Contract Guidelines for Article 44 MCOs, IPAs, and ACOs

Note: Effective April 1, 2017, all contracts, contract templates, and material amendments between plans and IPA/ACO; plans and providers; IPA/ACO and provider and IPA/ACO and IPA/ACO must be submitted to the Department of Health for review and approval in accordance with the revised Provider Contract Guidelines for Article 44 MCOs, IPAs, and ACOs (dated April 1, 2017). The Standard Clauses for Managed Care Provider/IPA/ACO Contracts and the Provider Contract Statement and Certification have also been revised.

The contract and required documentation should be submitted to:

  • For managed long term care plans: MLTCcontract@health.ny.gov
  • For all other MCOs: contract@health.ny.gov

    Incomplete submissions will not be accepted for review.

    Note: All contracts, including File and Use, are not considered received by DOH unless submitted through one of the email addresses above. Contract submission solely to the plan manager is NOT acceptable.

Questions regarding the contract review process may be sent:

References