New York Medicaid Plans
New York Medicaid Plans are offered through a managed care system overseen by the New York State Department of Health. These plans cover essential services such as doctor visits, hospital care, mental health services, prescription drugs, and more. New York Medicaid serves individuals and families who meet income and eligibility requirements, including children, pregnant women, seniors, and people with disabilities.
The state operates one of the largest Medicaid programs in the country. Most members are required to enroll in a Managed Care Organization (MCO), which contracts with the state to provide healthcare services. Enrollees can choose from a range of plans depending on their county of residence.
Managed Care Plans in New York
| Plan Name | Member Services | Website |
|---|---|---|
| Fidelis Care (Centene) | 1‑888‑343‑3547 | fideliscare.org |
| Healthfirst | 1‑866‑463‑6743 | healthfirst.org |
| EmblemHealth | 1‑855‑283‑2146 | emblemhealth.com |
| MetroPlus Health Plan | 1‑800‑303‑9626 | metroplus.org |
| UnitedHealthcare Community Plan | 1‑888‑617‑8979 | uhccommunityplan.com |
| Molina Healthcare of New York | 1‑800‑223‑7242 | molinahealthcare.com |
Enrollment & Eligibility
- Apply online through nystateofhealth.ny.gov
- Or call NY State of Health at 1‑855‑355‑5777
- Eligibility is based on income, family size, age, disability, and pregnancy status
Helpful Resources
Common Questions
What does New York Medicaid cover?
Medicaid in New York covers hospital care, doctor visits, labs, prescription drugs, mental health services, maternity care, and more.
Do I have to choose a managed care plan?
Yes, most Medicaid members must enroll in a managed care plan unless they qualify for an exemption or receive services through a long-term care waiver.
How do I find doctors in my plan’s network?
Each plan has a searchable online provider directory. Visit the plan’s website or call their Member Services line for help.
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