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/.