28
Managed Care Plan Directory Division of Managed Care and Program Evaluation Wednesday, February 10, 2016 Page 1 of 28 New York State Department of Health 2/3/1986 For-profit Date Certified: Profit Status: Plan Type: HMO (Health Maintenance Organization) New York State Corporate Address: 1160286 DOH Plan Id: New York, NY 10017 100 Park Avenue, 12th Floor Aetna Health Inc. Managed Care Plan: (212) 457-0700 Telephone Number: Mr. Steven Logan, CEO and President Chief Executive Officer: Participating Counties and Programs * Bronx Comm Broome Comm Cayuga Comm Dutchess Comm Kings Comm Nassau Comm New York Comm Onondaga Comm Orange Comm Oswego Comm Putnam Comm Queens Comm Richmond Comm Rockland Comm Suffolk Comm Sullivan Comm Tioga Comm Ulster Comm Westchester Comm Other Names Associated With This Plan Aetna U.S. Healthcare, Inc. Dba Comm = Mcaid = CHP = Commercial Medicaid Child Health Plus * Directory Produced by: DataLink

New York State Department of Health Division of Managed ... · Managed Care Plan Directory ... Managed Care Plan: Health Insurance Plan of Greater New York ... Managed Care Plan:

  • Upload
    dothuy

  • View
    221

  • Download
    0

Embed Size (px)

Citation preview

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 1 of 28

New York State Department of Health

2/3/1986

For-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1160286DOH Plan Id:

New York, NY 10017

100 Park Avenue, 12th Floor

Aetna Health Inc.Managed Care Plan:

(212) 457-0700Telephone Number:

Mr. Steven Logan, CEO and PresidentChief Executive Officer:

Participating Counties and Programs *

Bronx Comm Broome Comm Cayuga Comm

Dutchess Comm Kings Comm Nassau Comm

New York Comm Onondaga Comm Orange Comm

Oswego Comm Putnam Comm Queens Comm

Richmond Comm Rockland Comm Suffolk Comm

Sullivan Comm Tioga Comm Ulster Comm

Westchester Comm

Other Names Associated With This Plan

Aetna U.S. Healthcare, Inc.Dba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 2 of 28

New York State Department of Health

10/9/1986

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2010186DOH Plan Id:

1776 Eastchester Road

Bronx, NY 10461

Metro Center Atrium

Affinity Health Plan, Inc.Managed Care Plan:

(718) 794-7700Telephone Number:

Mr. Glenn MacFarlane, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Kings Nassau

New York Orange Queens

Richmond Rockland

Mcaid CHP Mcaid CHP Mcaid CHP Suffolk

Mcaid CHP Mcaid CHP Mcaid CHP

Westchester

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 3 of 28

New York State Department of Health

4/15/2003

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HIV/SNP (HIV Special Needs Plan)

New York State Corporate Address:

S99B001DOH Plan Id:

New York, NY 10122

14 Penn Plaza, 2nd Floor

Amida Care, Inc.Managed Care Plan:

(646) 786-1800Telephone Number:

Mr. Doug Wirth, Chief Executive OffficerChief Executive Officer:

Participating Counties and Programs *

Bronx Mcaid Kings Mcaid New York Mcaid

Queens Mcaid Richmond Mcaid

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 4 of 28

New York State Department of Health

4/30/1984

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1090384DOH Plan Id:

Albany, NY 12206

500 Patroon Creek Blvd

Capital District Physicians' Health Plan, Inc.Managed Care Plan:

(518) 641-3000Telephone Number:

Dr. John D. Bennett, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Albany Comm Mcaid CHP Broome Chenango Comm CHP

Columbia Delaware Dutchess Comm CHP

Essex Fulton

Comm Mcaid CHP Comm CHP Comm Mcaid CHP Greene Comm Mcaid CHP

Hamilton

Comm Mcaid CHP Comm CHP Comm Herkimer Comm CHP Madison Comm CHP

Oneida Comm CHP Orange Comm CHP

Rensselaer Saratoga

Schoharie Tioga

Montgomery Comm Mcaid CHP Otsego Comm CHP Schenectady Comm Mcaid CHP Ulster Comm CHP Warren

Comm Mcaid CHP

Comm Mcaid CHP Comm CHP Washington

Comm Mcaid CHP Comm Mcaid CHP Comm Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 5 of 28

New York State Department of Health

3/7/1996

For-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1350196DOH Plan Id:

165 Broadway 14th floor

New York, NY 10006

1 Liberty Plaza

Empire HealthChoice HMO, Inc.Managed Care Plan:

(212) 476-1000Telephone Number:

Mr. Lawrence Schreiber, President and CEOChief Executive Officer:

Participating Counties and Programs *

Albany Comm Bronx Comm Clinton Comm

Columbia Comm Delaware Comm Dutchess Comm

Essex Comm Fulton Comm Greene Comm

Kings Comm Montgomery Comm Nassau Comm

New York Comm Orange Comm Putnam Comm

Queens Comm Rensselaer Comm Richmond Comm

Rockland Comm Saratoga Comm Schenectady Comm

Schoharie Comm Suffolk Comm Sullivan Comm

Ulster Comm Warren Comm Washington Comm

Westchester Comm

Other Names Associated With This Plan

Empire Blue Cross Blue Shield HMODba

Empire Blue Cross HMODba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 6 of 28

New York State Department of Health

12/1/1998

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1390598DOH Plan Id:

Rochester, NY 14647

165 Court Street

Excellus Health Plan, Inc.Managed Care Plan:

(877) 253-4797Telephone Number:

Mr. Christopher Booth, Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Allegany Comm Broome Comm Mcaid CHP Cattaraugus Comm

Cayuga Comm CHP Chautauqua Comm Chemung Comm CHP

Chenango Comm CHP Clinton Comm CHP Cortland Comm CHP

Delaware Comm CHP Erie Comm Essex Comm CHP

Franklin Comm CHP Fulton Comm CHP Genesee Comm

Hamilton Comm CHP Herkimer Comm Mcaid CHP Jefferson Comm CHP

Lewis Comm CHP Livingston Comm Mcaid CHP Madison Comm CHP

Monroe Montgomery Comm CHP Niagara Comm

Oneida Onondaga Comm CHP Ontario Comm Mcaid CHP Orleans

Comm Mcaid CHP Comm Mcaid CHP Comm Mcaid CHP Oswego Comm CHP Otsego Comm Mcaid CHP

Schuyler Comm CHP Seneca St. Lawrence Comm CHP

Steuben Comm CHP Tioga Tompkins

Wayne Comm Mcaid CHP Wyoming

Comm Mcaid CHP Comm CHP Comm Yates

Comm CHP Comm Mcaid CHP

Other Names Associated With This Plan

Blue ChoiceDba

Finger Lakes HMODba

HMO BlueDba

Univera HealthCareDba

Univera Healthcare HMODba

Upstate HMODba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 7 of 28

New York State Department of Health

12/1/1978

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1050178DOH Plan Id:

New York, NY 10041

55 Water Street

Health Insurance Plan of Greater New YorkManaged Care Plan:

(646) 447-5000Telephone Number:

Ms. Karen Ignagni, Chairman and CEOChief Executive Officer:

Participating Counties and Programs *

Albany Comm Bronx Comm Mcaid CHP Broome Comm

Columbia Comm Delaware Dutchess

Fulton Comm Greene Kings

Montgomery Comm Nassau New York

Orange Comm Otsego Putnam

Queens Comm Mcaid CHP Rensselaer Richmond

Comm

Comm Mcaid CHP Comm Mcaid CHP Comm

Comm Mcaid CHP Rockland Comm Saratoga

Comm

Comm

Comm Mcaid CHP Comm

Comm

Comm Schenectady Comm

Schoharie Comm Suffolk Sullivan Comm

Ulster Comm Warren

Comm Mcaid CHP Comm Washington Comm

Westchester Comm Mcaid CHP

Other Names Associated With This Plan

EmblemHealthDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 8 of 28

New York State Department of Health

6/30/1987

For-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1250287DOH Plan Id:

New York, New York, NY 10017

150 East 42nd Street, 26th Floor

Health Net of New York, Inc.Managed Care Plan:

(212) 856-4500Telephone Number:

Ms. Linda Tiano, President, HNNEChief Executive Officer:

Participating Counties and Programs *

Bronx Comm Dutchess Comm Kings Comm

Nassau Comm New York Comm Orange Comm

Putnam Comm Queens Comm Richmond Comm

Rockland Comm Suffolk Comm Westchester Comm

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 9 of 28

New York State Department of Health

10/19/1990

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1280290DOH Plan Id:

New York, NY 10007

100 Church Street

Healthfirst Health Plan, Inc.Managed Care Plan:

(212) 801-1603Telephone Number:

Ms. Patricia Wang, CEOChief Executive Officer:

Participating Counties and Programs *

Bronx Comm Kings Comm Nassau Comm

New York Comm Queens Comm Richmond Comm

Suffolk Comm

Other Names Associated With This Plan

A+ Health PlanDba

Healthfirst Medicare PlanDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 10 of 28

New York State Department of Health

8/30/1994

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2090194DOH Plan Id:

New York, NY 10007

100 Church Street

HealthFirst PHSP, Inc.Managed Care Plan:

(212) 801-6000Telephone Number:

Ms. Patricia Wang, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Kings Nassau

New York Queens

Mcaid CHP Mcaid CHP Richmond

Mcaid CHP Mcaid CHP

Suffolk

Mcaid CHP Mcaid CHP Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 11 of 28

New York State Department of Health

8/1/1985

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1140685DOH Plan Id:

Buffalo, NY 14202

257 WEST Genesee Street

HealthNow New York Inc.Managed Care Plan:

(716) 887-6900Telephone Number:

Mr. David Anderson, President and CEOChief Executive Officer:

Participating Counties and Programs *

Allegany Comm Mcaid CHP Cattaraugus Comm Mcaid CHP Albany Comm

Chautauqua Comm Mcaid CHP Chemung Clinton Comm

Columbia Comm Erie Essex Comm

Fulton Comm Genesee

Comm

Comm Mcaid CHP Comm Greene Comm

Monroe Comm Montgomery Comm Niagara Comm

Onondaga Comm Orleans Comm Mcaid CHP Oswego Comm

Rensselaer Comm Saratoga Comm Schenectady Comm

Warren Comm Washington Comm Wayne Comm

Wyoming Comm Mcaid CHP

Other Names Associated With This Plan

Community BlueDba

Community Blue: Blue Cross Blue Shield of Western New YorkDba

Community Blue: Blue Cross Blue Shield of Western New YorkDba

Community Blue: Blue Shield of Northeastern New YorkDba

Community Blue: Blue Shield of Northeastern New YorkDba

Health NowDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 12 of 28

New York State Department of Health

1/12/1996

For-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2180196DOH Plan Id:

New York, NY 10005

9 Pine St., 14th Floor

HealthPlus, LLCManaged Care Plan:

(212) 372-6902Telephone Number:

Mr. John B. Stephenson, PresidentChief Executive Officer:

Participating Counties and Programs *

Bronx Kings Nassau

New York Putnam

Mcaid CHP Mcaid CHP Queens

Richmond

Mcaid CHP Mcaid CHP Mcaid CHP Suffolk CHP Westchester

Mcaid CHP Mcaid CHP

CHP

Other Names Associated With This Plan

AMERIGROUP Community CareDba

Empire Blue Cross Blue Shield HealthPlusDba

HealthPlus, an Amerigroup CompanyDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 13 of 28

New York State Department of Health

6/22/1987

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2040287DOH Plan Id:

Suite 321

Tarrytown, NY 10591

303 South Broadway

Hudson Health Plan, Inc.Managed Care Plan:

(914) 631-1611Telephone Number:

Ms. Denise Gonick, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Dutchess CHP Orange CHP Rockland CHP

Sullivan CHP Ulster CHP Westchester CHP

Other Names Associated With This Plan

HealthSourceDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 14 of 28

New York State Department of Health

2/11/1980

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1070680DOH Plan Id:

Buffalo, NY 14221

511 Farber Lakes Drive

Independent Health Association, Inc.Managed Care Plan:

(716) 631-3001Telephone Number:

Dr. Michael Cropp, President & Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Allegany Cattaraugus Comm Chautauqua Comm

Erie Genesee Comm Niagara Comm

Orleans

Comm

Comm Mcaid CHP Comm Wyoming Comm

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 15 of 28

New York State Department of Health

2/14/2003

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HIV/SNP (HIV Special Needs Plan)

New York State Corporate Address:

S99A008DOH Plan Id:

New York, NY 10038

160 Water Street, 3rd Floor

MetroPlus Health Plan, Inc. Special Needs PlanManaged Care Plan:

(212) 908-8600Telephone Number:

Dr. Arnold Saperstein, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Mcaid Kings Mcaid New York Mcaid

Queens Mcaid

Other Names Associated With This Plan

MetroPlus Health Plan Inc.-HIV Special Needs PlanDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 16 of 28

New York State Department of Health

6/15/1985

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

1130185DOH Plan Id:

New York, NY 10038

160 Water Street, 3rd Floor

MetroPlus Health Plan, Inc.Managed Care Plan:

(212) 908-8600Telephone Number:

Dr. Arnold Saperstein, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Kings Comm Mcaid CHP New York Comm Mcaid CHP Queens

Comm Mcaid CHP Comm Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 17 of 28

New York State Department of Health

6/1/1983

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1080383DOH Plan Id:

Schenectady, NY 12305

625 State Street

MVP Health Plan, Inc.Managed Care Plan:

(800) 777-4793Telephone Number:

Ms. Denise Gonick, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Albany McaidComm Broome Comm Cayuga Comm

Chenango Comm Clinton Comm Columbia Comm

Cortland Comm Delaware Comm Dutchess McaidComm

Essex Comm Franklin Comm Fulton Comm

Genesee Greene Comm Hamilton Comm

Herkimer Jefferson McaidComm Lewis Comm

Livingston

Comm Mcaid CHP Comm

Comm Mcaid CHP Madison Comm Monroe Comm Mcaid CHP Montgomery Comm Oneida Comm Onondaga Comm

Ontario Comm Mcaid CHP Orange McaidComm Orleans Comm

Oswego Comm Otsego Comm Putnam Comm

Rensselaer McaidComm Rockland McaidComm Saratoga McaidComm

Schenectady McaidComm Schoharie Comm Seneca Comm

St. Lawrence Comm Steuben Comm Sullivan McaidComm

Tioga Comm Tompkins Comm Ulster McaidComm

Warren McaidComm Washington Comm Wayne Comm

Westchester McaidComm Wyoming Comm Yates Comm

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 18 of 28

New York State Department of Health

7/18/1995

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2150195DOH Plan Id:

New York, NY 10175

521 Fifth Avenue, 3rd floor

Neighborhood Health Providers, Inc.Managed Care Plan:

(212) 808-4775Telephone Number:

Ms. Patricia Wang, Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Kings New York

Queens

Mcaid CHP Mcaid CHP Richmond

Mcaid CHP Mcaid CHP Suffolk

Mcaid CHP Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 19 of 28

New York State Department of Health

9/3/1993

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2060193DOH Plan Id:

East Syracuse, NY 13057

5010 Campuswood Drive

New York State Catholic Health Plan, Inc.Managed Care Plan:

(315) 437-1835Telephone Number:

Rev. Patrick J. Frawley, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Albany Allegany Bronx

Broome Cattaraugus Cayuga

Chautauqua Chemung Chenango

Clinton Columbia Cortland

Delaware Dutchess Erie

Essex Franklin Fulton

Genesee Greene Hamilton

Herkimer Jefferson Kings

Lewis Livingston Madison

Monroe Montgomery Nassau

New York Niagara Oneida

Onondaga Ontario Orange

Orleans Oswego Otsego

Putnam Queens Rensselaer

Richmond Rockland Saratoga

Schenectady Schoharie Schuyler

Seneca St. Lawrence Steuben

Suffolk Sullivan Tioga

Tompkins Ulster Warren

Washington Wayne Westchester

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP

Wyoming

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Yates

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Other Names Associated With This Plan

Better Health PlanDba

Fidelis Care New YorkDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 20 of 28

New York State Department of Health

Participating Counties and Programs *

Albany Allegany Bronx

Broome Cattaraugus Cayuga

Chautauqua Chemung Chenango

Clinton Columbia Cortland

Delaware Dutchess Erie

Essex Franklin Fulton

Genesee Greene Hamilton

Herkimer Jefferson Kings

Lewis Livingston Madison

Monroe Montgomery Nassau

New York Niagara Oneida

Onondaga Ontario Orange

Orleans Oswego Otsego

Putnam Queens Rensselaer

Richmond Rockland Saratoga

Schenectady Schoharie Schuyler

Seneca St. Lawrence Steuben

Suffolk Sullivan Tioga

Tompkins Ulster Warren

Washington Wayne Westchester

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP

Wyoming

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Yates

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Other Names Associated With This Plan

Better Health PlanDba

Fidelis Care New YorkDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 21 of 28

New York State Department of Health

1/20/1995

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2100195DOH Plan Id:

Brooklyn, NY 11201

335 Adams Street, 26th Floor

OHP PHSP, Inc.Managed Care Plan:

(866) 509-7999Telephone Number:

Mr. Daniel Phillips, Interim Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx CHP Kings CHP Nassau CHP

New York CHP Queens CHP Richmond CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 22 of 28

New York State Department of Health

6/1/1986

For-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1170186DOH Plan Id:

8th Floor

New York, NY 10119

One Penn Plaza

Oxford Health Plans (NY), Inc.Managed Care Plan:

(203) 459-6000Telephone Number:

Mr. William Golden, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Bronx Comm Dutchess Comm Kings Comm

Nassau Comm New York Comm Orange Comm

Putnam Comm Queens Comm Richmond Comm

Rockland Comm Suffolk Comm Sullivan Comm

Ulster Comm Westchester Comm

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 23 of 28

New York State Department of Health

5/1/1987

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2020487DOH Plan Id:

Syracuse, NY 13218

819 South Salina Street

Syracuse Community Health Center Managed Care Holding CompaManaged Care Plan:

(315) 634-5555Telephone Number:

Dr. Reuben Cowart, Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Cortland Onondaga Mcaid CHP Oswego CHP

Tompkins

Mcaid CHP Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 24 of 28

New York State Department of Health

11/1/1995

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2160195DOH Plan Id:

Box 182

New York, NY 10021

525 East 68th Street

The New York-Presbyterian Community Health Plan, Inc.Managed Care Plan:

(212) 297-5514Telephone Number:

Dr. Emilio Carrillo, Executive DirectorChief Executive Officer:

Participating Counties and Programs *

Bronx Mcaid Kings Mcaid New York Mcaid

Queens Mcaid

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 25 of 28

New York State Department of Health

7/31/1987

For-profit

Date Certified:

Profit Status:

Plan Type: HMO (Health Maintenance Organization)

New York State Corporate Address:

1260187DOH Plan Id:

14th Floor

New York, NY 10005

77 Water Street

UnitedHealthcare of New York, Inc.Managed Care Plan:

(800) 493-4647Telephone Number:

Mr. Pasquale Celli, Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Albany Bronx Broome

Cayuga Chautauqua Chemung

Chenango Clinton Columbia

Dutchess Erie Essex

Fulton Genesee Greene

Herkimer Jefferson Kings

Lewis Livingston Madison

Monroe Nassau New York

Niagara Oneida Onondaga

Ontario Orange Oswego

Queens Rensselaer Richmond

Rockland Seneca St. Lawrence

Suffolk Tioga Ulster

Warren Wayne

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid Westchester

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP

Wyoming

Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid CHP Mcaid CHP Mcaid

Other Names Associated With This Plan

AmeriChoice by UnitedHealthcareDba

UnitedHealthcare Community PlanDba

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 26 of 28

New York State Department of Health

12/23/2011

Not-for-profit

Date Certified:

Profit Status:

Plan Type: HIV/SNP (HIV Special Needs Plan)

New York State Corporate Address:

S99B010DOH Plan Id:

11th Floor

New York, NY 10001

1250 Broadway,

VNS Choice SNPManaged Care Plan:

(212) 609-5631Telephone Number:

Mr. Hany Abdelaal, PresidentChief Executive Officer:

Participating Counties and Programs *

Bronx Mcaid Kings Mcaid New York Mcaid

Queens Mcaid

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 27 of 28

New York State Department of Health

2/12/1987

For-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

1240287DOH Plan Id:

15th Floor

New York, NY 10004

One New York Plaza

WellCare of New York, Inc.Managed Care Plan:

(212) 463-6100Telephone Number:

Mr. John Burke, PresidentChief Executive Officer:

Participating Counties and Programs *

Albany Bronx Dutchess

Erie Kings Nassau

New York Niagara Orange

Queens Rensselaer Rockland

Schenectady Schuyler

Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP Mcaid Steuben

Mcaid CHP Mcaid

Mcaid CHP Mcaid CHP Mcaid

Ulster

Mcaid CHP Mcaid Mcaid CHP Mcaid CHP Mcaid

Mcaid CHP

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink

Managed Care Plan Directory

Division of Managed Care and Program Evaluation

Wednesday, February 10, 2016 Page 28 of 28

New York State Department of Health

7/5/1996

Not-for-profit

Date Certified:

Profit Status:

Plan Type: PHSP (Prepaid Health Services Plan)

New York State Corporate Address:

2190696DOH Plan Id:

Pittsford, NY 14534

1120 Pittsford-Victor Road

YourCare Health Plan, Inc.Managed Care Plan:

(800) 494-2215Telephone Number:

Mr. Dennis J. Graziano, President and Chief Executive OfficerChief Executive Officer:

Participating Counties and Programs *

Allegany Cattaraugus Chautauqua

Erie Monroe

Mcaid CHP Mcaid Ontario

Mcaid CHP Mcaid

Wyoming

Mcaid CHP Mcaid CHP Mcaid

Comm = Mcaid = CHP =Commercial Medicaid Child Health Plus*

Directory Produced by: DataLink