Welcome to the ALL-AIM Alliance of IPAs.
Welcome to the ALL-AIM Alliance of IPAs.

Medicaid Managed Long Term Care Plans Offered (Dec.  2013) by Company

MLTC, MAP, PACE & Proposed FIDA plan (Fully Integrated Dual Advantage)

-- PLANS THAT OPERATE IN NYC REGION ONLY --

 

 

Company

 

MLTC PLAN

 

Medicaid

Advantage PLUS

 

PACE

Medicaid

Advantage

(NO HOME CARE.1)

Main-

stream managed care

 

FIDA

Plan

Aetna

1.  Aetna Better Health%

 

 

 

 

x

Affinity

 

 

 

Affinity*

x

 

AgeWell (Parker Jewish)

2.  AgeWell New York *

 

 

 

 

x

AlphaCare (Magellan)

3.  AlphaCare* NEW

 

 

 

 

x

Amerigroup (HealthPlus)

4.  HealthPlus/Amerigroup

HealthPlus MAP

 

 

x

HealthPlus

x

AmidaCare

 

 

 

 

X SNP

 

Archcare**

5.  Archcare Community Life

 

Archcare

Senior

Life**

 

 

x

CenterLight (formerly CCM)

6.  CenterLight Select

 

Center- Light

PACE

 

 

x

Centers Plan for Healthy

Living

7.  Centers Plan for Health

Living MLTC

 

 

 

 

x

Elderplan (HomeFirst)

8.  HomeFirst MLTC

(ElderPlan)

ElderPlan Plus

LTC

 

ElderPlan

Medicaid Advantage (HMO SNP)

 

x

ElderServe

9.  ElderServe

 

 

 

 

x

Extended (CHHA)

10.Extended MLTC

 

 

 

 

 

Fidelis

11.Fidelis Care at Home

Fidelis MAP

 

Fidelis Dual

Advantage NYC

x

x

Guildnet

12.Guildnet

Guildnet Gold*

 

Guildnet Health

Advantage

HMO-POS SNP

 

x

 

 

 

Company

 

MLTC PLAN

 

Medicaid

Advantage PLUS

 

PACE

Medicaid

Advantage

(NO HOME CARE.1)

Main-

stream managed

care

 

FIDA

Plan

HHH Choices

13.HHH Choices Health Pl*

HHH Choices

Gold

 

 

 

x

EmblemHealth (HIP)

14.HIP/Emblem MLTC

EmblemHealth

MLTC PLus

 

EmblemHealth

Medicare Choice Value/ HIP

x

x

Independence Care System

15.Independence Care Sys*

 

 

 

 

x

Integra (Personal Touch)

16.Integra MLTC

 

 

 

 

x

Liberty Health

 

 

 

Liberty Health

Advantage

 

 

Managed Health (see Senior

Health Partners

 

 

 

Managed

Health

 

 

 

MetroPlus

17.MetroPlus MLTC*

 

 

MetroPlus MA

Advantage*

x

x

Montefiore HMO

18.Montefiore HMO NEW

 

 

 

 

x

North Shore-LIJ Health

19.North Shore LIJ NEW

 

 

 

 

x

 

20.

 

 

 

 

 

Senior Health Partners (Healthfirst/ Managed Health)

21.Senior Health Partners

(Healthfirst)

HealthFirst

Complete Care

 

HealthFirst Maximum*/ Managed Health

X Health- first PHSP

x

Senior Whole Health

22.Senior Whole Health

MLTC*

Senior Whole

Health M/M Plus*

 

 

 

x

Touchstone Health

 

 

 

Touchstone

Prestige$

 

 

 

United Healthcare

23.United Healthcare

Personal Assist

 

 

United Healthcare Dual Advantage

x

x

VillageCare

24.VillageCareMAX*

 

 

 

 

x

VNSNY

25.VNSNY Choice

VNSNY Choice

Plus

 

VNSNY TOTAL

X SNP

x

Wellcare

26.Wellcare Advocate MLTC

Wellcare Advocate

Complete*

 

Wellcare

Liberty MA#

x

x

 

 

 

Plans in top part of chart cover all NYC Boroughs except those marked as follows:

** = does not cover Staten Island

** ARCHCARE Community Life MLTC covers only Bronx, Manhattan & Staten Island; its PACE covers only Bronx & Manhattan

%    AETNA Better Health MLTC covers only Brooklyn, Manhattan & Queens

$  Touchstone Health Medicaid Advantage does not cover Manhattan (and is NOT a long-term care plan!!)

#  Wellcare Liberty MA covers Brooklyn, Bronx and Queens  only – and is not a long-term care plan!!

 

Contact Info for all plans posted at  http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm

and http://www.nymedicaidchoice.com/program-materials  (look under Long Term Care plan headings ONLY)

FIDA plans listed in http://www.health.ny.gov/health_care/medicaid/redesign/docs/2013_09_fida_faq.pdf Q6

 

1 Note: The second to the last column shows Medicaid Advantage Planswhich are different than Medicaid Advantage Plus plans.  Both offer Medicaid and Medicare services, but the Medicaid services offered by PLUS plans include Medicaid long-term home care, adult day care, etc. are offered. The regular Medicaid Advantage Plans – without the PLUS – do not offer any long-term care.  Any dual eligible needing home care or long term care should not join these plans. One cannot enroll in both a Medicaid Advantage and MLTC plan.

 

Also, many of these companies ALSO offer Medicare Advantage Plans, which cover solely Medicare services, and mainstream Medicaid Managed Care plans, for Medicaid recipients without Medicare. The names may sound alike – be sure to check the type of plan.  A Medicaid recipient who needs Medicaid home care MAY join a Medicare Advantage plan for his/her Medicare services. That same person may additionally enroll in an MLTC plan for her Medicaid long-term care services.

 

Prepared by Valerie Bogart, New York Legal Assistance Group, updated April 21, 2014 vbogart@nylag.org With Permission.

THIS DOCUMENT AVAILABLE AT  http://www.wnylc.com/health/download/429/ - check for updates

PLAN LIST ORGANIZED BY COUNTY  http://www.wnylc.com/health/download/371/

G:\Research\homecare\MLTC Managed LTC\Plan Lists\MLTC-MAP-PACE Plan List by Company - NYC april 2014.doc

Print Print | Sitemap
© all-aim