Managed Long-Term Care Plan Directory

  • Directory is also available in EXCEL format (XLSX)
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 Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Suffolk 55 West 125th St. Ste. 1300 New York, NY 10027 (855) 456–9126 (Partial) https://www.aetnabetterhealth.com/ny/members/mltc/handbook https://www.aetnabetterhealth.com/ny/members/mltc/directory   https://www.aetnabetterhealth.com/ny/board
AgeWell New York Partial Medicaid 21 and older Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau, Suffolk, Westchester 1991 Marcus Ave., Ste. M201 Lake Success, NY 11042 (866) 586–8044 https://agewellnewyork.com/jan2020/wp-content/uploads/2018/07/2017-MLTC-handbook-approved-4-27-17.pdf https://agewellnewyork.com/jan2020/wp-content/uploads/2020/01/2020.pdf   https://agewellnewyork.com/about/
AgeWell New York MAP Medicaid Medicare 18 and Older Westchester, Bronx, New York (Manhattan), Kings (Brooklyn), Queens, Nassau 1991 Marcus Ave., Ste. M201 Lake Success, NY 11042 (866) 586–8044 https://agewellnewyork.com/jan2020/wp-content/uploads/2020/01/2020-MAP-Member-Handbook.pdf https://agewellnewyork.com/for-members/find-a-provider/ https://agewellnewyork.com/jan2020/wp-content/uploads/2020/01/2020-MAP-Formulary-v6.pdf https://agewellnewyork.com/board-of-managers/
Empire BlueCross BlueShield HealthPlus 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/benefits/mltc-benefits.html https://mss.empireblue.com/ny/care/find-a-doctor.html   https://mss.empireblue.com/ny/contact-us.html
Empire MediBlue HealthPlus Duals Plus (HMO-D-SNP) MAP Medicaid Medicare 18 and Older New York city (All boroughs), Nassau, Orange, Rockland, Suffolk, Westchester 9 Pine St., 14th Fl. New York, NY 10005 (800) 950–7679 https://shop.empireblue.com/medicare/quote/ma-plan-documents planId=3718&state=NY&brand=EBCBS&role=consumer&locale=en_US https://shop.empireblue.com/medicare/quote/ma-plan-documents planId=3718&state=NY&brand=EBCBS&role=consumer&locale=en_US https://shop.empireblue.com/medicare/quote/ma-plan-documents planId=3718&state=NY&brand=EBCBS&role=consumer&locale=en_US https://mss.empireblue.com/ny/contact-us.html
ArchCare Community Life Partial Medicaid 21 and older NYC (all boroughs), Putnam, Westchester 205 Lexington Ave, 3rd Fl. New York, NY 10016 (855) 467–9351 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 (Manhattan), Richmond (Staten Island), Westchester 1432 Fifth Ave. New York, NY 10035 (866) 263–9083 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/senior-life/pharmacy-benefits/formulary https://www.archcare.org/health-plans/community-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 https://www.chsbuffalo.org/sites/default/files/files/services/pace/catholic-health-life-member-handbook-0621.pdf https://www.chsbuffalo.org/providers https://www.chsbuffalo.org/sites/default/files/files/services/pace/catholic-health-life-plan-provider-list-0621.pdf https://www.chsbuffalo.org/services/life
CenterLight Healthcare PACE PACE Medicaid Medicare Private Pay 55 and older NYC (All boroughs), Nassau, Suffolk, Westchester 1733 Eastchester Road 2nd Floor Bronx, NY 10461 (877) 226–8500 https://static1.squarespace.com/static/570e35b01d07c0cbf8f6a375/t/609c1ff14b90d15a8c21c8be/1620844572486/Welcome+Packet+English.pdf https://static1.squarespace.com/static/570e35b01d07c0cbf8f6a375/t/5fa46aa517679f4e84a0f021/1604610727534/provider+directory+2020.pdf https://www.centerlighthealthcare.org/clinical-pharmacy-programs https://www.centerlighthealthcare.org/
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 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 Medicaid Advantage Plus MAP Medicaid Medicare 21 and older NYC (All boroughs), Nassau, Rckland 75 Vanderbilt Ave. 7th Fl. Staten Island, NY 10304 (855) 270–1600 (Partial https://centershealthcare.com/centersplan/plans/map-plan/2020-map-materials https://centershealthcare.com/centersplan/plans/map-plan/2020-map-materials https://centershealthcare.com/centersplan/plans/map-plan/2020-map-materials https://centershealthcare.com/centersplan/about/what-is-new
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 https://www.completeseniorcare.org/wp-content/uploads/2021/05/CSC-Enrollment-Agreement-Member-Handbook.pdf https://www.completeseniorcare.org/wp-content/uploads/2021/05/participanting-provider-network-May-2021.pdf  https://completeseniorcare.org/services/ https://www.completeseniorcare.org/
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 https://www.sphp.com/assets/documents/find-a-service/senior-services/pace/eddyseniorcareenrollmenthandbook.pdf https://www.sphp.com/assets/documents/find-a-service/senior-services/pace/eddyseniorcarelathamprovidernetwork.pdf https://www.sphp.com/assets/documents/find-a-service/senior-services/pace/eddyseniorcarerotterdamprovidernetwork.pdf https://www.sphp.com/find-a-service-or-specialty/senior-services/pace/
Elderplan, Inc. MAP MAP Medicaid Medicare 18 and older NYC (All boroughs), Nassau, Westchester, Dutchess, Orange, Putnam, Rockland 6323 Seventh Ave. Brooklyn, NY 11220 (866) 362–4265 https://www.elderplan.org/wp-content/uploads/2021/07/H3347_EP17079_C_Accessible.pdf cache=1626437237107 https://www.elderplan.org/for-members/member-materials/provider-directory-map/ https://www.elderplan.org/resources/prescription-drugs/ 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, Suffolk , Sullivan, Ulster, Westchester 6323 Seventh Ave. Brooklyn, NY 11220 (866) 353–4681 https://www.elderplan.org/wp-content/uploads/2020/08/2021_HF-MemberHndbk_18pt-Proofread-version_ENG_Accessible.pdf cache=1626465072469 https://www.elderplan.org/homefirst/find-a-provider/   https://www.elderplan.org/elderplan/disclaimers/
Elderwood Health Plan Partial Medicaid 21 and older Erie, Genesee, Monroe, Niagara, Orleans, Wyoming 500 Seneca St. Buffalo, NY 14204 (866) 843–7526 https://www.elderwoodhealthplan.com/wp-content/uploads/2020/01/EHP-Member-Handbook_JAN2020.pdf http://provider.elderwoodhealthplan.com/   https://www.elderwoodhealthplan.com/about-us/
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/   https://www.evercare.org/about-us/board-members/
Extended MLTC, LLC Partial Medicaid 21 and older NYC (All boroughs), Nassau, Suffolk 360 West 31st St., Ste. 304 New York, NY 10001 (855) 299–649 http://www.extendedmltc.org/files/MLTC_Member_Handbook_092017.pdf http://www.extendedmltc.org/files/provider_directory.pdf   http://www.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://fallonweinberg.org/Plans/MLTC/member-materials.aspx http://fallonweinberg.org/Plans/MLTC/doctors-network.aspx   http://fallonweinberg.org/en/about.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 http://fallonweinberg.org/Plans/MLTC/member-materials.aspx http://fallonweinberg.org/Plans/MLTC/doctors-network.aspx https://www.fchp.org/en/members/Pharmacy/online-drug-formulary.aspx http://fallonweinberg.org/en/about.aspx
Fidelis Care at Home Partial Medicaid 18 and older NYC (All boroughs), all Upstate counties 25-01 Jackson Avenue, Long Island City, NY 11101 (800) 688–7422 https://www.fideliscare.org/Portals/0/Members/HealthResources/FidelisCare-2020Handbook-MLTC-English.Pdf https://www.fideliscare.org/Find-a-Doctor#/search   https://www.fideliscare.org/About-Us
Wellcare Fidelis Dual Plus (HMO D-SNP) MAP Medicaid Medicare 18 and older NYC (All boroughs), Albany, Montgomery, Rensselaer, Schenectady 25-01 Jackson Avenue, Long Island City, NY 11101 (877) 533–2404 (MAP) https://www.fideliscare.org/Member/Medicare-Information/Medicare-Resources https://www.fideliscare.org/Member/Medicare-Information/Medicare-Resources https://www.fideliscare.org/Member/Medicare-Information/Medicare-Resources https://www.fideliscare.org/About-Us
Hamaspik Choice Partial Medicaid 18 and older Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster 58 Rt. 59, Ste. 1 Monsey, New York 10952 (855) 552–4642 https://www.hamaspik.com/members/medicare#resources https://www.hamaspik.com/directory   https://www.hamaspik.com/team
Hamaspik Medicare Choice MAP Medicaid Medicare 18 and older NYC (All boroughs), Dutchess, Nassau, Orange, Putnam, Rockland, Sullivan, Ulster, Wesstchester 58 Rt. 59, Ste. 1 Monsey, New York 10952 (833) 426–2774 https://www.hamaspik.com/members/choice#resources https://www.hamaspik.com/directory https://www.hamaspik.com/members/choice#resources https://www.hamaspik.com/team
Healthfirst CompleteCare MAP Medicaid Medicare 18 and older NYC (All boroughs), Nassau, Westchester, Orange, Rockland, Sullivan 100 Church St. 18th Fl. New York, NY 10007 (888)260–1010 (MAP) https://healthfirst.org/forms-and-documents#medicare-mltc-plans https://hfdocfinder.org/ https://assets.healthfirst.org/pdf_aa0f5571086be66da6cc19a4e6b89e64 v=0130112814 https://healthfirst.org/about-us/
iCircle Care Partial Medicaid 18 and 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, NY 14580 (844) 424–7253 https://www.icirclecny.org/for-members/ https://www.icirclecny.org/provider-resources/   https://www.icirclecny.org/for-members/
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) https://www.elderone.org/-/media/elderone/h3331_enrollmentagreement12618.pdf la=en&hash=7C9C144A8B334A0493CE39FA3DA34CC91995371D https://www.elderone.org/-/media/elderone/4250_srs_elderone_provider-network-directory_4.pdf la=en&hash=09D80E7DE0390BE07F1C33780B022C766541DBAD https://www.rochesterregional.org/services/pharmacies https://www.rochesterregional.org/
Integra Managed Care Partial Medicaid 18 and older NYC (All boroughs), Nassau, Suffolk, Westchester 1981 Marcus Avenue, Ste. 100 Lake Success, NY 11042 (855) 800–4683 https://www.integraplan.org/pdfs/handbookv3.6.pdf http://idirectory.integraplan.org/idirectory/applicationspecific/search.asp   https://www.integraplan.org/
Integra Synergy MAP Medicaid Medicare 18 and older Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Nassau 1981 Marcus Avenue, Ste. 100 Lake Success, NY 11042 (877) 388-5195 https://www.integramanagedcare.com/our-plans/2020-synergy-map-hmo-snp https://www.integramanagedcare.com/provider-search https://www.integramanagedcare.com/member-resources https://www.integramanagedcare.com/about-us
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/   https://www.kaloshealth.org/about-us/kalos-health-leadership-team/
MetroPlus MLTC Partial Medicaid 21 and older NYC (All boroughs) 160 Water St. New York, NY 10038 (855) 355–6582 https://eastmainsiteprodsa.blob.core.windows.net/cms/metroplusmvc12/media/plans/mltc/mltc_member_handbook.pdf https://www.metroplus.org/member/provider-directory    https://www.metroplus.org/about-us
MetroPlus Health Ultracare MAP Medicaid Medicare 18 and older Bronx, Kings, New York, Queens, Richmond 160 Water St. New York, NY 10038 (855) 355–6582 https://www.metroplus.org/plans/medicare-2021/ultra-care-2021 https://www.metroplus.org/plans/medicare-2021 https://www.metroplus.org/plans/medicare-2021  
Montefiore Diamond Care Partial Medicaid 21 and older Bronx and Westchester 200 Corporate Blvd. South Yonkers, New York 10701 (855) 556–6683 https://www.montefiore.org/benefits-and-overview-4276 https://www.montefiore.org/find-a-provider-4277   https://www.montefiore.org/diamond-care
Nascentia Health 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, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Tioga, Tompkins, Warren, Washington, Wayne, Wyoming, Yates 1050 W. Genesee St. Syracuse, NY 13204 (315) 477–9500 (888) 477–4663 https://nascentiahealthoptions.org/ https://nascentiahealthoptions.org/   https://nascentiahealth.org/about-nascentia/leadership/
PACE CNY PACE Medicaid Medicare Private Pay 55 and older Onondaga 100 Malta Lane North Syracuse, NY 13212 (888) 728–7223 https://pacecny.org/resources/pace-resources/ https://pacecny.org/resources/pace-resources/ https://pacecny.org/services/medication-management/ https://pacecny.org/
Partners Health Plan FIDA-IDD Medicaid Medicare 21 and older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Richmond (Staten Island), Rockland, Suffolk, Westchester 655 Third Ave. New York, NY 10017 (855) 747–5483 https://www.phpcares.org/participants/fida-idd/participant-materials-2021-2/ https://www.phpcares.org/participants/fida-idd/participant-materials-2021-2/ https://www.phpcares.org/participants/fida-idd/participant-materials-2021-2/  
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 https://www.primehealthchoice.com/wp-content/uploads/2020/01/Member-Handbook.pdf https://www.primehealthchoice.com/wp-content/uploads/2020/01/Provider-Directory.pdf   https://www.primehealthchoice.com/about-us/
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) https://riverspringathome.org/members/member-materials/ https://riverspringathome.org/members/provider-network/   https://riverspringathome.org/leadership/
RiverSpring MAP MAP Medicaid Medicare 18 and older NYC (All boroughs) Nassau,Westchester 94 West 225th St., 2nd Fl. Bronx, NY 10463 (800) 362-2266 https://riverspringmap.org/members/member-materials/ https://riverspringmap.org/members/member-materials/ https://riverspringmap.org/members/member-materials/ https://riverspringmap.org/leadership/
Senior Health Partners A Healthfirst Company Partial Medicaid Private Pay 18 and older NYC (All boroughs) Nassau, Westchester 100 Church St., 18th Fl. New York, NY 10007 (866) 585–9280 https://assets.healthfirst.org/api/pdf id=pdf_d8eb02d76f&v=0129064956  https://hfdocfinder.org/   https://healthfirst.org/about-us/
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 https://www.mvhealthsystem.org/sites/default/files/resources/snh_member_handbook_12.20.pdf https://www.mvhealthsystem.org/providers   https://mvhealthsystem.org/resource/snh-affiliates
Senior Whole Health of New York MLTC Partial Medicaid 21 and older Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Westchester 111 Broadway, Ste. 1505 New York, NY 10006 (877) 353–0185 https://seniorwholehealth.com/images/2019_Member_Materials/MCNY-MHB-71623-18_MLTC_2019_Member_Handbook_ENG_FINALc.pdf https://seniorwholehealth.com/images/2019_Member_Materials/MCNY-PD-74218-19%20MLTC%202019%20Provider%20Directory_ENG%20FINAL%20W%20COVER.pdf   https://investors.molinahealthcare.com/
Senior Whole Health of New York MAP MAP Medicaid Medicare 65 and older Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Queens, Westchester 111 Broadway, Ste. 1505 New York, NY 10006 (877) 353–0185 https://seniorwholehealth.com/images/2020_Member_Materials/MCNY-MEM-75613-19%20ENR%202020%20Model%20EOC_ENG%20FINAL_508_c.pdf https://seniorwholehealth.com/home/members-new-york/nursing-home-certifiable-nhc-members/find-a-provider.html https://seniorwholehealth.com/images/2020_Member_Materials/MCNY-MEM-75615-19_Rx_2020_Formulary_Cover_ENG_FINAL.pdf https://investors.molinahealthcare.com/
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 Total Senior Care handbook Provider-List-for-Participants-02222021.pdf (totalseniorcare.org) Benefits & Services - Total Senior Care About - Total Senior Care
VillageCareMAX Partial Medicaid 18 and older Bronx, Kings (Brooklyn), New York (Manhattan), Queens 112 Charles St. 2nd Fl. New York, NY 10014 (800) 469–6292 https://www.villagecaremax.org/mltc/wp-content/uploads/sites/7/2020/01/VCMAX-Member-Handbook_English_approved-3-30-2018__.pdf https://www.villagecaremax.org/mltc/wp-content/uploads/sites/7/2020/01/VillageCareMAX_MLTC_Directory_Q4_2019.pdf   https://www.villagecaremax.org/about-us/
VillageCare MAX Medicare Total Advantage MAP Medicaid Medicare 18 and older Bronx, Kings (Brooklyn), New York (Manhattan), Queens 112 Charles St. 2nd Fl. New York, NY 10014 (800) 469–6292 https://www.villagecaremax.org/map/wp-content/uploads/sites/4/2020/01/MBR20_63_C-2020-EOC_MAP_English-v4_final.pdf https://www.villagecaremax.org/map/2021-plan-materials-and-resources https://www.villagecaremax.org/map/wp-content/uploads/sites/4/2020/01/2020_Formulary_MAP_English_FINAL.pdf https://www.villagecaremax.org/about-us/
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 220 East 42nd St New York, NY 10017 (888) 867-6555 https://www.vnsnychoice.org/mltc-policy-updates http://vnsnychoice.org/mltc-providers   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. Thus there is no information to post on the website for this requirement.
VNSNY CHOICE Total MAP Medicaid Medicare 18 and older NYC (All boroughs), Nassau, Suffolk, Westchester 220 East 42nd St New York, NY 11017 (866) 783–1444 www.vnsnychoice.org/2021materials www.vnsnychoice.org/totalproviders www.vnsnychoice.org/totalformulary