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Department of Health Office of Health Insurance Programs Managed Care Organization (MCO) Directory by Plan Affinity Health Plan, Inc. Address: 1776 Eastchester Road Bronx, NY 10461 Plan Type: PHSP Date Certified: 10/9/1986 President & CEO: Michael Murphy Web Page: https://www.affinityplan.org/ DOH Plan ID: 2010186 Member Services: (866) 247-5678 Tax Status: Not-for-Profit Provider Relations: (866) 247-5678 County Available Programs Bronx CHP HARP MCAID Kings CHP HARP MCAID Nassau CHP HARP MCAID New York CHP HARP MCAID Orange CHP HARP MCAID Queens CHP HARP MCAID Richmond CHP HARP MCAID Rockland CHP HARP MCAID Suffolk CHP HARP MCAID Westchester CHP HARP MCAID CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans 06-Jul-18 Page 1 of 34

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Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Affinity Health Plan, Inc.

Address: 1776 Eastchester Road

Bronx, NY 10461

Plan Type: PHSP Date Certified: 10/9/1986

President & CEO: Michael Murphy Web Page: https://www.affinityplan.org/

DOH Plan ID: 2010186 Member Services: (866) 247-5678

Tax Status: Not-for-Profit Provider Relations: (866) 247-5678

County Available Programs

Bronx CHP HARP MCAID

Kings CHP HARP MCAID

Nassau CHP HARP MCAID

New York CHP HARP MCAID

Orange CHP HARP MCAID

Queens CHP HARP MCAID

Richmond CHP HARP MCAID

Rockland CHP HARP MCAID

Suffolk CHP HARP MCAID

Westchester CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 1 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Amida Care, Inc. (SNP)

Address: 14 Penn Plaza 2nd Floor

New York, NY 10122

Plan Type: Special Needs Plan Date Certified: 4/15/2003

CEO: Doug Wirth Web Page: https://www.amidacareny.org/

DOH Plan ID: S99B001 Member Services: (800)556-0689

Tax Status: Not-for-Profit Provider Relations: (800) 556-0674

County Available Programs

Bronx MCAID

Kings

New York

MCAID

MCAID

Queens MCAID

Richmond MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 2 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Capital District Physician's Health Plan, Inc.

Address: 500 Patroon Creek Blvd

Albany, NY 12206

Plan Type: HMO Date Certified: 4/30/1984

President & CEO: John Bennett, MD Web Page: https://www.cdphp.com/

DOH Plan ID: 1090384 Member Services: (518) 641-3800 or (800) 388-2994

Tax Status: Not-for-Profit Provider Relations: (518) 641-3500 or (800) 926-7526

County Available Programs

Albany CHP Comm HARP MCAID

Broome CHP Comm HARP MCAID

Chenango CHP Comm

Clinton CHP Comm HARP MCAID

Columbia CHP Comm HARP MCAID

Delaware CHP Comm

Dutchess CHP Comm

Essex CHP Comm HARP MCAID

Franklin CHP Comm HARP MCAID

Fulton CHP Comm HARP MCAID

Greene CHP Comm HARP MCAID

Hamilton Comm

Herkimer CHP Comm

Madison CHP Comm

Montgomery CHP Comm HARP MCAID

Oneida CHP Comm

Orange CHP Comm

Otsego CHP Comm

Rensselaer CHP Comm HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 3 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Capital District Physician's Health Plan, Inc.

Address: 500 Patroon Creek Blvd

Albany, NY 12206

Plan Type: HMO Date Certified: 4/30/1984

President & CEO: John Bennett, MD Web Page: https://www.cdphp.com/

DOH Plan ID: 1090384 Member Services: (518) 641-3800 or (800) 388-2994

Tax Status: Not-for-Profit Provider Relations: (518) 641-3500 or (800) 926-7526

County Available Programs

Saratoga CHP Comm HARP MCAID

Schenectady CHP Comm HARP MCAID

Schoharie CHP Comm HARP MCAID

Tioga CHP Comm HARP MCAID

Ulster CHP Comm

Warren CHP Comm HARP MCAID

Washington CHP Comm HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 4 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Crystal Run Health Plan, LLC

Address: 109 Rykoski Lane

Middletown, NY 10941

Plan Type: HMO Date Certified: 8/1/2015

Executive Director: Steve Zeng Web Page: https://www.crystalrunhp.com/

DOH Plan ID: 1251013 Member Services: (844) 638-6506

Tax Status: For-Profit Provider Relations: (844) 638-6507

County Available Programs

Orange Comm MCAID

Sullivan Comm MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 5 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Empire HealthChoice HMO, Inc.

Doing Business As (d/b/a): Empire BlueCross BlueShield HMO; Empire BlueCross HMO

Address: 9 Pine Street 14th Floor

New York, NY 10005

Plan Type: HMO Date Certified: 3/7/1996

CEO: Lawrence Schreiber Web Page: https://www.empireblue.com/

DOH Plan ID: 1350196 Member Services:

Tax Status: For-Profit Provider Relations:

County Available Programs

Albany

Bronx

Comm

Comm

Clinton Comm

Columbia Comm

Delaware Comm

Dutchess Comm

Essex Comm

Fulton Comm

Greene Comm

Kings

Montgomery

Nassau

Comm

Comm

Comm

New York Comm

Orange

Putnam

Comm

Comm

Queens Comm

Rensselaer Comm

Richmond Comm

Rockland Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 6 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Empire HealthChoice HMO, Inc.

Doing Business As (d/b/a): Empire BlueCross BlueShield HMO; Empire BlueCross HMO

Address: 9 Pine Street 14th Floor

New York, NY 10005

Plan Type: HMO Date Certified: 3/7/1996

CEO: Lawrence Schreiber Web Page: https://www.empireblue.com/

DOH Plan ID: 1350196 Member Services:

Tax Status: For-Profit Provider Relations:

County Available Programs

Saratoga Comm

Schenectady Comm

Schoharie Comm

Suffolk Comm

Sullivan Comm

Ulster Comm

Warren Comm

Washington Comm

Westchester Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 7 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Excellus Health Plan, Inc.

Doing Business As (d/b/a): Upstate HMO and Univera Healthcare HMO

Address: 165 Court Street

Rochester, NY 14647

Plan Type: HMO Date Certified: 12/1/1998

CEO: Christopher Booth Web Page: https://www.excellusbcbs.com

DOH Plan ID: 1390598 Member Services:

Tax Status: Not-for-Profit Provider Relations: (800) 920-8889

County Available Programs

Allegany Comm

Broome CHP Comm HARP MCAID

Cattaraugus Comm

Cayuga CHP Comm

Chautauqua Comm

Chemung CHP Comm

Chenango CHP Comm

Clinton CHP Comm

Cortland CHP Comm

Delaware CHP Comm

Erie CHP Comm HARP MCAID

Essex CHP Comm

Franklin CHP Comm

Fulton CHP Comm

Genesee Comm

Hamilton CHP Comm

Herkimer CHP Comm HARP MCAID

Jefferson CHP Comm

Lewis CHP Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 8 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Excellus Health Plan, Inc.

Doing Business As (d/b/a): Upstate HMO and Univera Healthcare HMO

Address: 165 Court Street

Rochester, NY 14647

Plan Type: HMO Date Certified: 12/1/1998

CEO: Christopher Booth Web Page: https://www.excellusbcbs.com

DOH Plan ID: 1390598 Member Services:

Tax Status: Not-for-Profit Provider Relations: (800) 920-8889

County Available Programs

Livingston CHP Comm HARP MCAID

Madison CHP Comm

Monroe CHP Comm HARP MCAID

Montgomery CHP Comm

Niagara Comm

Oneida CHP Comm HARP MCAID

Onondaga CHP Comm

Ontario CHP Comm HARP MCAID

Orleans CHP Comm HARP MCAID

Oswego CHP Comm

Otsego CHP Comm HARP MCAID

Schuyler CHP Comm

Seneca CHP Comm HARP MCAID

St. Lawrence CHP Comm

Steuben CHP Comm

Tioga CHP Comm

Tompkins CHP Comm

Wayne CHP Comm HARP MCAID

Wyoming Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 9 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Excellus Health Plan, Inc.

Doing Business As (d/b/a): Upstate HMO and Univera Healthcare HMO

Address: 165 Court Street

Rochester, NY 14647

Plan Type: HMO Date Certified: 12/1/1998

CEO: Christopher Booth Web Page: https://www.excellusbcbs.com

DOH Plan ID: 1390598 Member Services:

Tax Status: Not-for-Profit Provider Relations: (800) 920-8889

County Available Programs

Yates CHP Comm HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 10 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Health Insurance Plan of Greater New York, Inc.

Doing Business As (d/b/a): EmblemHealth

Address: 55 Water Street

New York, NY 10041

Plan Type: HMO Date Certified: 12/1/1978

CEO: Karen Ignagni Web Page: https://www.emblemhealth.com/

DOH Plan ID: 1050178 Member Services: (855) 283-2146

Tax Status: Not-for-Profit Provider Relations: (866) 447-9717

County Available Programs

Albany Comm

Bronx CHP Comm HARP MCAID

Broome Comm

Columbia Comm

Delaware Comm

Dutchess Comm

Fulton Comm

Greene Comm

Kings CHP Comm HARP MCAID

Montgomery Comm

Nassau CHP Comm HARP MCAID

New York CHP Comm HARP MCAID

Orange Comm

Otsego Comm

Putnam Comm

Queens CHP Comm HARP MCAID

Rensselaer Comm

Richmond CHP Comm HARP MCAID

Rockland Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 11 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Health Insurance Plan of Greater New York, Inc.

Doing Business As (d/b/a): EmblemHealth

Address: 55 Water Street

New York, NY 10041

Plan Type: HMO Date Certified: 12/1/1978

CEO: Karen Ignagni Web Page: https://www.emblemhealth.com/

DOH Plan ID: 1050178 Member Services: (855) 283-2146

Tax Status: Not-for-Profit Provider Relations: (866) 447-9717

County Available Programs

Saratoga

Schenectady

Schoharie

Comm

Comm

Comm

Suffolk CHP Comm HARP MCAID

Sullivan Comm

Ulster Comm

Warren Comm

Washington

Westchester CHP

Comm

Comm HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 12 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Healthfirst Health Plan, Inc.

Address: 100 Church Street 8th Floor

New York, NY 10007

Plan Type: HMO Date Certified: 10/19/1990

CEO: Patricia Wang Web Page: https://www.healthfirst.org/

DOH Plan ID: 1280290 Member Services: (866) 463-6743

Tax Status: Not-for-Profit Provider Relations: (888) 801-1660

County Available Programs

Bronx Comm

Kings Comm

Nassau Comm

New York Comm

Queens Comm

Richmond Comm

Suffolk Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 13 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Healthfirst PHSP, Inc.

Address: 100 Church Street 17th Floor

New York, NY 10007

Plan Type: PHSP Date Certified: 8/30/1994

CEO: Patricia Wang Web Page: https://www.healthfirst.org/

DOH Plan ID: 2090194 Member Services: (866) 463-6743

Tax Status: Not-for-Profit Provider Relations: (888) 801-1660

County Available Programs

Bronx CHP HARP MCAID

Kings CHP HARP MCAID

Nassau CHP HARP MCAID

New York CHP HARP MCAID

Queens CHP HARP MCAID

Richmond CHP HARP MCAID

Suffolk CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 14 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

HealthNow of New York, Inc

Doing Business As (d/b/a): Community Blue, BlueCross BlueShield of Western NY; Community Blue, BlueCross BlueShield of Northeastern New York

Address: 257 West Genesee Street

Buffalo, NY 14202

Plan Type: HMO Date Certified: 8/1/1985

CEO: David Anderson Web Page: https://www.bcbswny.com

DOH Plan ID: 1140685 Member Services: (866) 231-0847

Tax Status: Not-for-Profit Provider Relations: (866) 231-0847

County Available Programs

Albany Comm

Allegany CHP Comm MCAID

Cattaraugus CHP Comm MCAID

Chautauqua CHP Comm MCAID

Clinton Comm

Columbia Comm

Erie CHP Comm MCAID

Essex Comm

Fulton Comm

Genesee CHP Comm MCAID

Greene Comm

Montgomery Comm

Niagara CHP Comm MCAID

Orleans CHP Comm MCAID

Rensselaer Comm

Saratoga Comm

Schenectady Comm

Warren Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 15 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

HealthNow of New York, Inc

Doing Business As (d/b/a): Community Blue, BlueCross BlueShield of Western NY; Community Blue, BlueCross BlueShield of Northeastern New York

Address: 257 West Genesee Street

Buffalo, NY 14202

Plan Type: HMO Date Certified: 8/1/1985

CEO: David Anderson Web Page: https://www.bcbswny.com

DOH Plan ID: 1140685 Member Services: (866) 231-0847

Tax Status: Not-for-Profit Provider Relations: (866) 231-0847

County Available Programs

Washington Comm

Wyoming CHP Comm MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 16 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

HealthPlus HP, LLC

Doing Business As (d/b/a): Empire Blue Cross Blue Shield HealthPlus

Address: 9 Pine Street

New York, NY 10005

Plan Type: PHSP Date Certified: 1/12/1996

CEO: Jack Stephenson Web Page: https://mss.empireblue.com

DOH Plan ID: 2180196 Member Services: (800) 300-8181

Tax Status: For-Profit Provider Relations: (800) 450-8753

County Available Programs

Bronx CHP HARP MCAID

Kings CHP HARP MCAID

Nassau CHP HARP MCAID

New York CHP HARP MCAID

Putnam CHP HARP MCAID

Queens CHP HARP MCAID

Richmond CHP HARP MCAID

Suffolk CHP

Westchester CHP

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 17 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Independent Health Association, Inc.

Address: 511 Farber Lakes Drive

Buffalo, NY 14221

Plan Type: HMO Date Certified: 2/11/1980

President & CEO: Michael Cropp, MD Web Page: https://www.independenthealth.com/

DOH Plan ID: 1070680 Member Services: (716) 631-8701 or (800) 501-3439

Tax Status: Not-for-Profit Provider Relations: (716) 631-3282 or (800) 736-5771

County Available Programs

Allegany

Cattaraugus

Chautauqua

Erie CHP

Comm

Comm

Comm

Comm HARP MCAID

Genesee Comm

Niagara

Orleans

CHP Comm

Comm

Wyoming Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 18 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

MetroPlus Health Plan, Inc.

Address: 160 Water Street

New York, NY 10038

Plan Type: PHSP Date Certified: 6/15/1985

President & CEO: Arnold Saperstein, MD Web Page: https://www.metroplus.org/

DOH Plan ID: 1130185 Member Services: (800) 303-9626

Tax Status: Not-for-Profit Provider Relations: (800) 303-9626

County Available Programs

Bronx CHP HARP MCAID

Kings CHP HARP MCAID

New York CHP HARP MCAID

Queens CHP HARP MCAID

Richmond CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 19 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

MetroPlus Health Plan, Inc. (SNP)

Address: 160 Water Street

New York, NY 10038

Plan Type: Special Needs Plan Date Certified: 2/14/2003

President & CEO: Arnold Saperstein, MD Web Page: https://www.metroplus.org/

DOH Plan ID: S99A008 Member Services: (800) 303-9626

Tax Status: Not-for-Profit Provider Relations: (800) 303-9626

County Available Programs

Bronx MCAID

Kings

New York

MCAID

MCAID

Queens MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 20 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

Molina Healthcare of New York, Inc.

Doing Business As (d/b/a): Molina Healthcare

Address: 5232 Witz Drive

North Syracuse, NY 13212

Plan Type: PHSP Date Certified: 12/1/2013

President & CEO: Colleen Schmidt Web Page: http://www.molinahealthcare.com

DOH Plan ID: 2161013 Member Services: (800) 223-7242

Tax Status: For-Profit Provider Relations: (877) 872-4716

County Available Programs

Cortland CHP HARP MCAID

Onondaga CHP HARP MCAID

Oswego CHP

Tompkins CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 21 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

MVP Health Plan, Inc.

Address: 625 State Street

Schenectady, NY 12305

Plan Type: HMO Date Certified: 6/1/1983

President & CEO: Denise Gonick Web Page: https://www.mvphealthcare.com/

DOH Plan ID: 1080383 Member Services: (888) 687-6277

Tax Status: Not-for-Profit Provider Relations: (800) 684-9286

County Available Programs

Albany CHP Comm HARP MCAID

Broome Comm

Cayuga Comm

Chenango Comm

Clinton Comm

Columbia CHP Comm HARP MCAID

Cortland Comm

Delaware Comm

Dutchess CHP Comm

Essex Comm

Franklin Comm

Fulton Comm

Genesee CHP Comm HARP MCAID

Greene CHP Comm HARP MCAID

Hamilton Comm

Herkimer Comm

Jefferson CHP Comm HARP MCAID

Lewis CHP Comm HARP MCAID

Livingston CHP Comm HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 22 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

MVP Health Plan, Inc.

Address: 625 State Street

Schenectady, NY 12305

Plan Type: HMO Date Certified: 6/1/1983

President & CEO: Denise Gonick Web Page: https://www.mvphealthcare.com/

DOH Plan ID: 1080383 Member Services: (888) 687-6277

Tax Status: Not-for-Profit Provider Relations: (800) 684-9286

County Available Programs

Madison Comm

Monroe CHP Comm HARP MCAID

Montgomery Comm

Oneida CHP Comm HARP MCAID

Onondaga Comm

Ontario CHP Comm HARP MCAID

Orange CHP Comm HARP MCAID

Orleans Comm

Oswego Comm

Otsego Comm

Putnam CHP Comm HARP MCAID

Rensselaer CHP Comm HARP MCAID

Rockland CHP Comm HARP MCAID

Saratoga CHP Comm HARP MCAID

Schenectady CHP Comm HARP MCAID

Schoharie Comm

Seneca Comm

St. Lawrence Comm

Steuben Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 23 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

MVP Health Plan, Inc.

Address: 625 State Street

Schenectady, NY 12305

Plan Type: HMO Date Certified: 6/1/1983

President & CEO: Denise Gonick Web Page: https://www.mvphealthcare.com/

DOH Plan ID: 1080383 Member Services: (888) 687-6277

Tax Status: Not-for-Profit Provider Relations: (800) 684-9286

County Available Programs

Sullivan CHP Comm HARP MCAID

Tioga Comm

Tompkins Comm

Ulster CHP Comm HARP MCAID

Warren CHP Comm HARP MCAID

Washington CHP Comm HARP MCAID

Wayne Comm

Westchester CHP Comm HARP MCAID

Wyoming Comm

Yates Comm

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 24 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

New York Quality Healthcare Corporation

Doing Business As (d/b/a): Fidelis Care

Address: 95-25 Queen Blvd 8th Floor

Rego Park, NY 11374

Plan Type: PHSP Date Certified: 9/3/1993

President & CEO: Rev. Patrick Frawley Web Page: https://www.fideliscare.org/

DOH Plan ID: 2060193 Member Services: (888) 343-3547 or (800) 421-1220

Tax Status: Not-for-Profit Provider Relations: (888) 343-3547

County Available Programs

Albany CHP HARP MCAID

Allegany CHP HARP MCAID

Bronx CHP HARP MCAID

Broome CHP HARP MCAID

Cattaraugus CHP HARP MCAID

Cayuga CHP HARP MCAID

Chautauqua CHP HARP MCAID

Chemung CHP HARP MCAID

Chenango CHP HARP MCAID

Clinton CHP HARP MCAID

Columbia CHP HARP MCAID

Cortland CHP HARP MCAID

Delaware CHP HARP MCAID

Dutchess CHP HARP MCAID

Erie CHP HARP MCAID

Essex CHP HARP MCAID

Franklin CHP HARP MCAID

Fulton CHP HARP MCAID

Genesee CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 25 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

New York Quality Healthcare Corporation

Doing Business As (d/b/a): Fidelis Care

Address: 95-25 Queen Blvd 8th Floor

Rego Park, NY 11374

Plan Type: PHSP Date Certified: 9/3/1993

President & CEO: Rev. Patrick Frawley Web Page: https://www.fideliscare.org/

DOH Plan ID: 2060193 Member Services: (888) 343-3547 or (800) 421-1220

Tax Status: Not-for-Profit Provider Relations: (888) 343-3547

County Available Programs

Greene CHP HARP MCAID

Hamilton CHP HARP MCAID

Herkimer CHP HARP MCAID

Jefferson CHP HARP MCAID

Kings CHP HARP MCAID

Lewis CHP HARP MCAID

Livingston CHP HARP MCAID

Madison CHP HARP MCAID

Monroe CHP HARP MCAID

Montgomery CHP HARP MCAID

Nassau CHP HARP MCAID

New York CHP HARP MCAID

Niagara CHP HARP MCAID

Oneida CHP HARP MCAID

Onondaga CHP HARP MCAID

Ontario CHP HARP MCAID

Orange CHP HARP MCAID

Orleans CHP HARP MCAID

Oswego CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 26 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

New York Quality Healthcare Corporation

Doing Business As (d/b/a): Fidelis Care

Address: 95-25 Queen Blvd 8th Floor

Rego Park, NY 11374

Plan Type: PHSP Date Certified: 9/3/1993

President & CEO: Rev. Patrick Frawley Web Page: https://www.fideliscare.org/

DOH Plan ID: 2060193 Member Services: (888) 343-3547 or (800) 421-1220

Tax Status: Not-for-Profit Provider Relations: (888) 343-3547

County Available Programs

Otsego CHP HARP MCAID

Putnam CHP HARP MCAID

Queens CHP HARP MCAID

Rensselaer CHP HARP MCAID

Richmond CHP HARP MCAID

Rockland CHP HARP MCAID

Saratoga CHP HARP MCAID

Schenectady CHP HARP MCAID

Schoharie CHP HARP MCAID

Schuyler CHP HARP MCAID

Seneca CHP HARP MCAID

St. Lawrence CHP HARP MCAID

Steuben CHP HARP MCAID

Suffolk CHP HARP MCAID

Sullivan CHP HARP MCAID

Tioga CHP HARP MCAID

Tompkins CHP HARP MCAID

Ulster CHP HARP MCAID

Warren CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 27 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

New York Quality Healthcare Corporation

Doing Business As (d/b/a): Fidelis Care

Address: 95-25 Queen Blvd 8th Floor

Rego Park, NY 11374

Plan Type: PHSP Date Certified: 9/3/1993

President & CEO: Rev. Patrick Frawley Web Page: https://www.fideliscare.org/

DOH Plan ID: 2060193 Member Services: (888) 343-3547 or (800) 421-1220

Tax Status: Not-for-Profit Provider Relations: (888) 343-3547

County Available Programs

Washington CHP HARP MCAID

Wayne CHP HARP MCAID

Westchester CHP HARP MCAID

Wyoming CHP HARP MCAID

Yates CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 28 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

UnitedHealthcare of New York, Inc.

Doing Business As (d/b/a): UnitedHealthcare Community Plan

Address: 77 Water Street 14th Floor

New York, NY 10005

Plan Type: HMO Date Certified: 7/31/1987

CEO: Pat Celli Web Page: https://www.uhc.com/

DOH Plan ID: 1260187 Member Services: (800) 493-4647

Tax Status: For-Profit Provider Relations: (866) 362-3368

County Available Programs

Albany CHP HARP MCAID

Bronx CHP HARP MCAID

Broome CHP HARP MCAID

Cayuga CHP HARP MCAID

Chautauqua CHP HARP MCAID

Chemung CHP HARP MCAID

Chenango CHP HARP MCAID

Clinton CHP HARP MCAID

Columbia CHP HARP MCAID

Dutchess HARP MCAID

Erie HARP MCAID

Essex CHP HARP MCAID

Franklin HARP MCAID

Fulton CHP HARP MCAID

Genesee CHP HARP MCAID

Greene HARP MCAID

Herkimer CHP HARP MCAID

Jefferson CHP HARP MCAID

Kings CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 29 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

UnitedHealthcare of New York, Inc.

Doing Business As (d/b/a): UnitedHealthcare Community Plan

Address: 77 Water Street 14th Floor

New York, NY 10005

Plan Type: HMO Date Certified: 7/31/1987

CEO: Pat Celli Web Page: https://www.uhc.com/

DOH Plan ID: 1260187 Member Services: (800) 493-4647

Tax Status: For-Profit Provider Relations: (866) 362-3368

County Available Programs

Lewis CHP HARP MCAID

Livingston HARP MCAID

Madison CHP HARP MCAID

Monroe CHP HARP MCAID

Nassau CHP HARP MCAID

New York CHP HARP MCAID

Niagara CHP HARP MCAID

Oneida CHP HARP MCAID

Onondaga CHP HARP MCAID

Ontario CHP HARP MCAID

Orange CHP HARP MCAID

Orleans HARP MCAID

Oswego CHP HARP MCAID

Queens CHP HARP MCAID

Rensselaer CHP HARP MCAID

Richmond CHP HARP MCAID

Rockland CHP HARP MCAID

Schenectady HARP MCAID

Seneca CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 30 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

UnitedHealthcare of New York, Inc.

Doing Business As (d/b/a): UnitedHealthcare Community Plan

Address: 77 Water Street 14th Floor

New York, NY 10005

Plan Type: HMO Date Certified: 7/31/1987

CEO: Pat Celli Web Page: https://www.uhc.com/

DOH Plan ID: 1260187 Member Services: (800) 493-4647

Tax Status: For-Profit Provider Relations: (866) 362-3368

County Available Programs

St. Lawrence CHP HARP MCAID

Suffolk CHP HARP MCAID

Tioga CHP HARP MCAID

Ulster CHP HARP MCAID

Warren CHP HARP MCAID

Wayne CHP HARP MCAID

Westchester CHP HARP MCAID

Wyoming HARP MCAID

Yates HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 31 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

VNS Choice SNP

Address: 1250 Broadway, 26th Flr

New York, NY 10001

Plan Type: Special Needs Plan Date Certified: 12/23/2011

President & CEO: Hany Abdelaal, MD Web Page: https://www.vnsnychoice.org/

DOH Plan ID: S99B010 Member Services: (866) 469-7774

Tax Status: Not-for-Profit Provider Relations: (866) 783-0222

County Available Programs

Bronx MCAID

Kings

New York

MCAID

MCAID

Queens MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 32 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

WellCare of New York, Inc.

Address: One New York Plaza

New York, NY 10004

Plan Type: PHSP Date Certified: 2/12/1987

President: John Burke Web Page: https://www.wellcare.com/New-York

DOH Plan ID: 1240287 Member Services: (800) 288-5441

Tax Status: For-Profit Provider Relations: (800) 288-5441

County Available Programs

Albany CHP MCAID

Bronx CHP MCAID

Dutchess CHP MCAID

Erie CHP MCAID

Kings CHP MCAID

Nassau CHP MCAID

New York CHP MCAID

Niagara CHP MCAID

Orange CHP MCAID

Queens CHP MCAID

Rensselaer CHP MCAID

Rockland CHP MCAID

Schenectady CHP MCAID

Schuyler CHP MCAID

Steuben CHP MCAID

Ulster CHP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 33 of 34

Department of Health

Office of Health Insurance Programs

Managed Care Organization (MCO)

Directory by Plan

YourCare Health Plan, Inc.

Address: 1120 Pittsford-Victor Road

Pittsford, NY 14534

Plan Type: PHSP Date Certified: 7/5/1996

President & CEO: Dennis Graziano Web Page: https://www.yourcarehealthplan.com

DOH Plan ID: 2190696 Member Services: (800) 683-3781

Tax Status: Not-for-Profit Provider Relations: (888) 638-7149

County Available Programs

Allegany CHP HARP MCAID

Cattaraugus CHP HARP MCAID

Chautauqua CHP HARP MCAID

Erie CHP HARP MCAID

Monroe CHP HARP MCAID

Ontario CHP HARP MCAID

Wyoming CHP HARP MCAID

CHP: Child Health Plus Comm: Commercial MCAID: Medicaid HARP: Health and Recovery Plans

06-Jul-18 Page 34 of 34