Managed Long-Term Care Plan Directory

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 and older Kings, New York (Manhattan), Queens, Nassau, Suffolk 55 West 125th St.
Ste. 1300
New York, NY 10027
(855) 456–9126 (Partial)
(855) 494–9945 (FIDA)
https://www.aetnabetterhealth.com/ny/members/mltc/handbook https://www.aetnabetterhealth.com/ny/find-provider   https://www.aetnabetterhealth.com/ny/board
AgeWell New York Partial Medicaid 21 and older Bronx, Kings, New York, Queens, Nassau, Suffolk, Westchester 1991 Marcus Ave., Ste. M201
Lake Success, NY 11042
(866) 586–8044
http://www.agewellnewyork.com/ http://www.agewellnewyork.com/health–plan–options/2018–managed–long–term–care–mltc/mltc–member–materials/ http://www.agewellnewyork.com/health–plan–options/2018–managed–long–term–care–mltc/mltc–member–materials/ http://www.agewellnewyork.com/health–plan–options/2018–managed–long–term–care–mltc/mltc–member–materials/
AgeWell New York FIDA FIDA Medicaid
Medicare
21 and older Bronx, Kings, New York, Queens, Nassau, Suffolk, Westchester        
Empire BlueCross BlueShield HealthPlus MLTC,
formerly HealthPlus, an Amerigroup Company
Partial Medicaid 18 and older New York City (All boroughs) 9 Pine St., 14th Fl.
New York, NY 10005
(800) 950–7679
https://mss.empireblue.com/ny/pages/mltc.aspx https://mediproviders.empireblue.com/ny/pages/manuals–directories–more.aspx https://client.formularynavigator.com/Search.aspx?siteCode=1258995230  
Empire BlueCross BlueShield HealthPlus MAP,
formerly HealthPlus, an Amerigroup Company
MAP Medicaid
Medicare
https://mss.empireblue.com/ny/pages/mltc.aspx https://mediproviders.empireblue.com/ny/pages/manuals–directories–more.aspx   https://client.formularynavigator.com/Search.aspx?siteCode=1258995230  
ArchCare Community Life Partial Medicaid 21 and older Bronx, Kings, New York, Queens, Richmond, Putnam, Westchester 33 Irving Place, 11th Fl.
New York, NY 10003
(855) 467–9351
https://www.archcare.org/ https://www.archcare.org/health–plans/community–life/information–members https://www.archcare.org/health–plans/community–life/information–members https://www.archcare.org/health–plans/community–life/information–members
ArchCare Senior Life PACE Medicaid
Medicare
Private Pay
55 and older Bronx, New York, Richmond, Westchester 1432 Fifth Ave.
New York, NY 10035
(866) 263–9083
https://www.archcare.org/ https://www.archcare.org/health–plans/senior–life/information–members https://www.archcare.org/health–plans/senior–life/information–members https://www.archcare.org/health–plans/senior–life/pharmacy–benefits/formulary https://www.archcare.org/health–plans/senior–life/information–members
Catholic Health–LIFE PACE Medicaid
Medicare
Private Pay
55 and older Erie 55 Melroy Ave.
Lackawanna, NY 14218
(855) 671–3341
(716) 819–5064
       
CenterLight Healthcare PACE PACE Medicaid
Medicare
Private Pay
55 and older NYC (All boroughs), Nassau, Suffolk, Westchester 1250 Waters Place
Tower 1, Ste. 602
Bronx, NY 10461
(877) 226–8500
       
Centers Plan for Healthy Living Partial Medicaid 21 and older NYC (All boroughs), Erie, Nassau, Suffolk, Niagara, Rockland, Westchester 75 Vanderbilt Ave.
7th Fl.
Staten Island, NY 10304
(855) 270–1600 (Partial)
(800) 466–2745 (FIDA)
https://centershealthcare.com/centersplan/plans/mltc https://centershealthcare.com/centersplan/plans/mltc/managed–long–term–care–materials https://centershealthcare.com/centersplan/plans/mltc/managed–long–term–care–materials https://centershealthcare.com/centersplan/about/what_is_new
Centers Plan for FIDA Care Complete FIDA Medicaid
Medicare
21 and older Kings, Queens, Bronx, New York, Richmond        
Complete Senior Care PACE Medicaid
Medicare
Private Pay
55 and older Niagara 1302 Main St.
Niagara Falls, NY 14301
(888) 303–4333
(716) 285–8248
       
Eddy SeniorCare PACE Medicaid
Medicare
Private Pay
55 and older Albany (Not in all of county), Schenectady (Most of county) 504 State St.
Schenectady, NY 12305
(518) 382–3290
       
Elderplan, Inc. MAP MAP Medicaid
Medicare
18 and older NYC (All boroughs), Nassau, Westchester 6323 Seventh Ave.
Brooklyn, NY 11220
(866) 362–4265(MAP)
(866) 353–4681 (Partial)
(855) 462–3167 (FIDA)
https://www.elderplan.org/homefirst/member–materials/ https://www.elderplan.org/homefirst/find–a–provider/   https://www.elderplan.org/elderplan/disclaimers/
HomeFirst, a product of Elderplan, Inc. Partial Medicaid 18 and older NYC (All boroughs) Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester https://www.elderplan.org/homefirst/ https://www.elderplan.org/homefirst/member-materials/ https://www.elderplan.org/homefirst/find–a–provider/ https://www.elderplan.org/elderplan/disclaimers/
Elderplan FIDA Total Care FIDA Medicaid
Medicare
21 and older Kings, Queens, Bronx, New York, Richmond, Nassau        
Elderwood Health Plan Partial Medicaid 21 and older Erie, Genesee, Monroe, Niagara, Orleans, Wyoming 500 Seneca St.
Buffalo, NY 14204
(866) 843–7526
http://www.elderwoodhealthplan.com/member–resources/ http://www.elderwoodhealthplan.com/for–providers/    
Evercare Choice Partial Medicaid 18 and older Dutchess, Orange, Rockland 31 Cerone Place
Newburgh, NY 12550
(877) 255–3678
https://www.evercare.org/services/evercare–choice/handbook/ https://www.evercare.org/services/evercare–choice/provider–directory/    
Extended MLTC, LLC Partial Medicaid 21 and older NYC (All boroughs), Nassau, Suffolk 360 West 31st St., Ste. 304
New York, NY 10001
(855) 299–6492
http://extendedmltc.org/files/MLTC_Member_Handbook_092017.pdf http://extendedmltc.org/files/Provider_directory_032018.pdf   http://extendedmltc.org/MLTC_About
Fallon Health Weinberg MLTC Partial Medicaid 21 and older Erie and Niagara 461 John James Audubon
Parkway
Amherst, NY 14228
(866) 882–8185
(716) 250–3100
http://www.fallonweinberg.org/en/Plans/MLTC/member–materials.aspx http://www.fallonweinberg.org/en/Plans/MLTC/member–materials.aspx    
Fallon Health Weinberg PACE PACE Medicaid
Medicare
Private Pay
55 and older Erie 461 John James Audubon Pkwy
Amherst, NY 14228
(716) 810–1895
(855) 665–1113
       
Fidelis Care at Home Partial Medicaid 18 and older NYC (All boroughs), all Upstate counties 95–25 Queens Blvd
Rego Park, NY 11374
(800) 688–7422 (Partial)
(877) 533–2404 (MAP)
(800)247–1447 (FIDA)
https://www.fideliscare.org/members https://www.fideliscare.org/en–us/members/memberhandbooks.aspx https://www.fideliscare.org/FindADoctor/#/search https://www.fideliscare.org/en–us/members/formularies.aspx
Fidelis Medicaid Advantage Plus MAP Medicaid
Medicare
18 and older NYC (All boroughs), Albany, Montgomery, Rensselaer, Schenectady https://www.fideliscare.org/en–us/members/memberhandbooks.aspx https://www.fideliscare.org/FindADoctor/#/search https://www.fideliscare.org/en–us/members/formularies.aspx  
GuildNet Partial Medicaid 18 and older NYC (All boroughs) 15 West 65th St.,
10th Fl.
New York, NY 10023
(800) 932–4703 (Partial)
(800) 815–0000 (MAP & FIDA)
https://www.lighthouseguild.org/health–plans/guildnet–mltc/benefits–resources/ https://www.lighthouseguild.org/health–plans/guildnet–mltc/benefits–resources/    
GuildNet Gold MAP Medicaid
Medicare
18 and older Bronx, Kings, New York, Queens https://www.lighthouseguild.org/health–plans/guildnet–gold/benefits–resources/ https://www.lighthouseguild.org/health–plans/guildnet–gold/benefits–resources/ https://www.lighthouseguild.org/health–plans/guildnet–gold/benefits–resources/  
GuildNet Gold Plus Fida FIDA Medicaid
Medicare
21 and older NYC (All boroughs)        
Hamaspik Choice, Inc. Partial Medicaid 18 and older Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster 58 Rt. 59, Ste. 1
Monsey, New York 10952
(855) 552–4642
http://www.hamaspikchoice.org/Member–Handbook.pdf http://www.hamaspikchoice.org/provider_search.html   http://www.hamaspikchoice.org/team.html
Healthfirst CompleteCare MAP Medicaid
Medicare
18 and older NYC (All boroughs), Nassau 100 Church St.
18th Fl.
New York, NY 10007
(888)260–1010 (MAP)
(855) 675–7630 (FIDA)
https://healthfirst.org/members/plan–materials/2018–medicare–plan–materials/ https://www.providerlookuponline.com/healthfirst/po/Search.aspx https://healthfirst.org/health–insurance/2018–medicare–plans/2018–healthfirst–completecare–hmo–snp/  
Healthfirst AbsoluteCare FIDA FIDA Medicaid
Medicare
21 and older Kings, Queens, Bronx, New York, Richmond, Nassau, Westchester        
iCircle Care Partial Medicaid 18 and older Broome, Cayuga, Chemung, Chenango, Cortland, Genesee, Livingston, Madison, Monroe, Onondaga, Ontario, Orleans, Oswego, Otsego, Schuyler, Seneca, Steuben, Tioga, Tompkins, Wayne, Wyoming, Yates 860 Hard Rd.
Webster, NY 14580
(844) 424–7253
https://icirclecarecny.org/Resources/tabid/119/Default.aspx https://icirclecarecny.org/Resources/tabid/119/Default.aspx   https://icirclecarecny.org/Resources/tabid/119/Default.aspx
Independence Care System Partial Medicaid 18 and older Bronx, Kings, New York, Queens 257 Park Ave. South
2nd Fl.
New York, NY 10010
(877) 427–2525
(212) 584–2500
http://www.icsny.org/care/member–handbook/ http://www.icsny.org/care/ics–community–care–provider–network/    
Independent Living for Seniors d/b/a ElderONE PACE Medicaid
Medicare
Private Pay
55 and older Monroe, Ontario, Wayne 2066 Hudson Ave.
Rochester, NY 14617
(585) 922–2800
(855) 457–4636 (Main)
       
Integra MLTC, Inc. Partial Medicaid 18 and older NYC (All boroughs), Nassau, Suffolk, Westchester 1981 Marcus Avenue, Ste. 100
Lake Success, NY 11042
(855) 800–4683
http://www.integraplan.org/pdfs/handbookv3.5.pdf http://idirectory.integraplan.org/idirectory/applicationspecific/search.asp    
Kalos Health Partial Medicaid 18 and older Chautauqua, Erie, Genesee, Monroe, Niagara, Orleans 2424 Niagara Falls Blvd.
Ste 400
Niagara Falls, NY 14304
800–894–2464
https://www.kaloshealth.org/mltc/mltc-member-resources/ https://www.kaloshealth.org/mltc/mltc-member-resources/    
MetroPlus MLTC Partial Medicaid 21 and older Bronx, Kings, New York, Queens 160 Water St.
New York, NY 10038
(855) 355–6582
https://www.metroplus.org/get–health–insurance/health–plans/metroplus–managed–long–term–care https://www.metroplus.org/get–health–insurance/health–plans/metroplus–managed–long–term–care https://www.metroplus.org/member–services/formularies https://www.metroplus.org/about–us/default
MetroPlus FIDA FIDA Medicaid
Medicare
21 and older Bronx, Kings, New York, Queens        
Montefiore Diamond Care MLTC Partial Medicaid 21 and older Bronx and Westchester 200 Corporate Blvd. South
Yonkers, New York 10701
(855) 556–6683
http://www.montefiore.org/benefits–and–overview–4276 http://www.montefiore.org/find–a–provider–4277   http://www.montefiore.org/diamond–care
PACE CNY PACE Medicaid
Medicare
Private Pay
55 and older Onondaga 100 Malta Lane
North Syracuse, NY
13212
(888) 728–7223
       
Partners Health Plan FIDA–IDD Medicaid
Medicare
21 and older Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, Westchester 655 Third Ave.
New York, NY 10017
(855) 747–5483
       
Prime Health Choice LLC Partial Medicaid 21 and older Albany, Dutchess, Orange, Putnam, Rockland, Warren, Washington 3125 Emmons Ave.
Brooklyn, NY 11235
(855) 777–4630
http://primehealthchoice.com/ http://primehealthchoice.com/    
RiverSpring at Home Partial Medicaid 18 and older NYC (All boroughs), Nassau, Suffolk, Westchester 94 West 225th St.,
2nd Fl.
Bronx, NY 10463
(800) 370–3600 (Partial)
(800) 950–9000 (FIDA)
http://www.riverspringathome.org/ http://www.riverspringathome.org/    
RiverSpring FIDA FIDA Medicaid
Medicare
18 and older Kings, Queens, Bronx, New York, Richmond, Nassau, Westchester        
Senior Health Partners
A Healthfirst Company
Partial Medicaid
Private Pay
21 and older NYC (All boroughs) Nassau, Westchester 100 Church St., 18th Fl.
New York, NY 10007
(866) 585–9280
https://healthfirst.org/health–insurance/senior–health–partners/ https://www.providerlookuponline.com/healthfirst/po/Search.aspx    
Senior Network Health, LLC Partial Medicaid
Private Pay
18 and older Herkimer and Oneida 1650 Champlin Ave.
Utica, NY 13502
(888) 355–4764
(315) 624–4545
       
Senior Whole Health of New York MLTC Partial Medicaid 21 and older Bronx, Kings, New York, Queens, Westchester 111 Broadway, Ste. 1505
New York, NY 10006
(877) 353–0185 (Partial & MAP)
(844) 861–3432 (FIDA)
       
Senior Whole Health of New York MAP MAP Medicaid
Medicare
65 and older Bronx, Kings, Nassau, New York, Queens, Westchester        
Senior Whole Health FIDA FIDA Medicaid
Medicare
21 and older Bronx, Kings, New York, Queens        
Total Senior Care, Inc. PACE Medicaid
Medicare
Private Pay
55 and older Allegany, Cattaraugus, Chautauqua 519 North Union St.
Olean, NY 14760
(716) 379–8474
(866) 939–8613
       
United Healthcare Personal Assist Partial Medicaid 18 and older NYC (All boroughs), Albany, Broome, Erie, Monroe, Oneida, Onondaga 77 Water St., 14th Fl.
New York, NY 10005
(877) 512–9354
       
VillageCareMAX Partial Medicaid 18 and older Bronx, Kings, New York, Queens 112 Charles St.
2nd Fl.
New York, NY 10014
(800) 469–6292
https://www.villagecaremax.org/mltc/for-members/#member_handbook https://www.villagecaremax.org/mltc/for-members/#provider_network    
VillageCareMAX Full Advantage FIDA FIDA Medicaid
Medicare
21 and older        
VillageCare MAX Medicare Total Advantage MAP Medicaid
Medicare
18 and older        
VNA Homecare Options, LLC Partial Medicaid 18 and 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, St. Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Tioga, Tompkins, Warren, Washington, Wayne, Wyoming, Yates 1050 W. Genesee St.
Syracuse, NY 13204
(315) 477–9500
(888) 477–4663
       
VNSNY CHOICE Managed Long Term Care Partial Medicaid 18 and older NYC (All boroughs), Albany, Columbia, Delaware, Dutchess, Erie, Fulton, Greene, Herkimer, Madison, Monroe, Montgomery, Nassau, Oneida, Onondaga, Orange, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Suffolk, Sullivan, Ulster, Warren, Washington, Westchester 1250 Broadway, 11th Fl.
New York, NY 10001
(866) 783–1444 (FIDA)
https://www.vnsnychoice.org/for-our-members/plans-benefits/managed-long-term-care/member-materials https://www.vnsnychoice.org/for-our-members/plans-benefits/managed-long-term-care/member-materials FIDA/MA online  
VNSNY CHOICE Total MAP Medicaid
Medicare
18 and older NYC (All boroughs), Nassau, Suffolk, Westchester https://www.vnsnychoice.org/for-our-members/2018-member-materials-total https://www.vnsnychoice.org/for-our-members/2018-member-materials-total    
VNSNY CHOICE FIDA Complete FIDA Medicaid
Medicare
21 and older Kings, Queens, Bronx, New York, Richmond, Nassau

*approved to operate but not yet live in Suffolk and Westchester counties
       
Wellcare Advocate MLTC Partial Medicaid 18 and older NYC (All boroughs), Albany, Erie, Orange, Nassau, Rockland, Suffolk, Ulster, Westchester One New York Plaza, 15th Floor,
New York, NY 10004
(866) 661–1232 (Partial)
https://www.wellcare.com/New-York/Members/Medicaid-Plans/WellCare-Advocate-Managed-Long-Term-Care https://www.wellcare.com/New-York/Members/Medicaid-Plans/WellCare-Advocate-Managed-Long-Term-Care   https://www.wellcare.com/New-York/Members/Medicaid-Plans/WellCare-Advocate-Managed-Long-Term-Care/Helpful-Tips-and-Information/Ownership-and-Controlling-Interest