New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 1 of 28 Managed Care Plan: Aetna Health Inc. HMO (Health Maintenance Organization) Plan Type: Date Certified: 2/3/1986 Profit Status: For-profit DOH Plan Id: 1160286 100 Park Avenue, 12th Floor New York, NY 10017 New York State Corporate Address: (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 Dba * Comm = Commercial Aetna U.S. Healthcare, Inc. Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 2 of 28 Managed Care Plan: Affinity Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 10/9/1986 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2010186 Metro Center Atrium 1776 Eastchester Road New York State Corporate Address: Bronx, NY 10461 (718) 794-7700 Telephone Number: Mr. Glenn MacFarlane, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid CHP Kings Mcaid CHP Nassau Mcaid New York Mcaid CHP Orange Mcaid CHP Queens Mcaid CHP Richmond Mcaid CHP Rockland Mcaid CHP Suffolk Mcaid CHP Westchester Mcaid CHP * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 3 of 28 Managed Care Plan: Amida Care, Inc. HIV/SNP (HIV Special Needs Plan) Plan Type: 4/15/2003 Date Certified: Profit Status: Not-for-profit DOH Plan Id: S99B001 14 Penn Plaza, 2nd Floor New York, NY 10122 New York State Corporate Address: (646) 786-1800 Telephone Number: Mr. Doug Wirth, Chief Executive Offficer Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid Kings Mcaid Queens Mcaid Richmond Mcaid * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink New York CHP = Child Health Plus Mcaid New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 4 of 28 Managed Care Plan: Capital District Physicians' Health Plan, Inc. HMO (Health Maintenance Organization) Plan Type: 4/30/1984 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1090384 500 Patroon Creek Blvd Albany, NY 12206 New York State Corporate Address: (518) 641-3000 Telephone Number: Dr. John D. Bennett, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Albany Comm Mcaid CHP Broome Comm Mcaid CHP Chenango Comm Columbia Comm Mcaid CHP Delaware Comm CHP Dutchess Comm CHP CHP Essex Comm CHP Fulton Comm Mcaid CHP Greene Comm Mcaid CHP Hamilton Comm Herkimer Comm CHP Madison Comm CHP Montgomery Comm Mcaid CHP Oneida Comm CHP Orange Comm CHP Otsego Comm CHP Rensselaer Comm Mcaid CHP Saratoga Comm Mcaid CHP Schenectady Comm Mcaid CHP Schoharie Comm Mcaid CHP Tioga Comm Mcaid CHP Ulster Comm CHP Warren Comm CHP Washington Comm Mcaid * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 5 of 28 Managed Care Plan: Empire HealthChoice HMO, Inc. HMO (Health Maintenance Organization) Plan Type: Date Certified: 3/7/1996 Profit Status: For-profit DOH Plan Id: 1350196 1 Liberty Plaza 165 Broadway 14th floor New York State Corporate Address: New York, NY 10006 (212) 476-1000 Telephone Number: Mr. Lawrence Schreiber, President and CEO Chief 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 * Comm = Commercial Dba Empire Blue Cross Blue Shield HMO Dba Empire Blue Cross HMO Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 6 of 28 Managed Care Plan: Excellus Health Plan, Inc. HMO (Health Maintenance Organization) Plan Type: 12/1/1998 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1390598 165 Court Street Rochester, NY 14647 New York State Corporate Address: (877) 253-4797 Telephone Number: Mr. Christopher Booth, Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Allegany Comm Broome Comm Mcaid Cayuga Comm CHP Chautauqua Comm Cattaraugus Comm Chemung Chenango Comm CHP Clinton Comm Comm CHP Cortland Comm Delaware Comm CHP Erie Comm CHP Essex Comm CHP Franklin Comm CHP Fulton Comm Hamilton Comm CHP Herkimer Comm Mcaid CHP Genesee Comm CHP Jefferson Lewis Comm CHP Livingston Comm Mcaid Comm CHP CHP Madison Comm Monroe Comm CHP Montgomery CHP Comm CHP Niagara Comm Oneida Comm CHP Orleans Comm Onondaga Comm CHP Ontario Comm Mcaid CHP Oswego Comm CHP Otsego Comm Mcaid CHP Schuyler Comm Steuben Comm CHP Seneca Comm Mcaid CHP St. Lawrence Comm CHP CHP Tioga Comm CHP Tompkins Comm Wayne Comm Mcaid CHP CHP Wyoming Comm Yates Comm Mcaid CHP Mcaid Mcaid Mcaid CHP CHP CHP Other Names Associated With This Plan * Comm = Commercial Dba Blue Choice Dba Finger Lakes HMO Dba HMO Blue Dba Univera HealthCare Dba Univera Healthcare HMO Dba Upstate HMO Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 7 of 28 Managed Care Plan: Health Insurance Plan of Greater New York HMO (Health Maintenance Organization) Plan Type: 12/1/1978 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1050178 55 Water Street New York, NY 10041 New York State Corporate Address: (646) 447-5000 Telephone Number: Ms. Karen Ignagni, Chairman and CEO Chief Executive Officer: Participating Counties and Programs * Albany Comm Bronx Comm Mcaid Broome Comm Columbia Comm Delaware Comm Dutchess Comm Fulton Comm Greene Comm Kings Comm Mcaid CHP Montgomery Comm Nassau Comm Mcaid New York Comm Mcaid CHP Orange Comm Otsego Comm Putnam Comm Queens Comm Mcaid Rensselaer Comm Richmond Comm Mcaid Rockland Comm Saratoga Comm Schenectady Comm Schoharie Comm Suffolk Comm Mcaid Sullivan Comm Ulster Comm Warren Comm Washington Comm Westchester Comm Mcaid CHP CHP CHP CHP CHP Other Names Associated With This Plan Dba * Comm = Commercial EmblemHealth Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 8 of 28 Managed Care Plan: Health Net of New York, Inc. HMO (Health Maintenance Organization) Plan Type: Date Certified: 6/30/1987 Profit Status: For-profit DOH Plan Id: 1250287 150 East 42nd Street, 26th Floor New York, New York, NY 10017 New York State Corporate Address: (212) 856-4500 Telephone Number: Ms. Linda Tiano, President, HNNE Chief 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 = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 9 of 28 Managed Care Plan: Healthfirst Health Plan, Inc. HMO (Health Maintenance Organization) Plan Type: 10/19/1990 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1280290 100 Church Street New York, NY 10007 New York State Corporate Address: (212) 801-1603 Telephone Number: Ms. Patricia Wang, CEO Chief 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 * Comm = Commercial Dba A+ Health Plan Dba Healthfirst Medicare Plan Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 10 of 28 Managed Care Plan: HealthFirst PHSP, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 8/30/1994 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2090194 100 Church Street New York, NY 10007 New York State Corporate Address: (212) 801-6000 Telephone Number: Ms. Patricia Wang, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid CHP Kings Mcaid CHP Nassau Mcaid CHP New York Mcaid CHP Queens Mcaid CHP Richmond Mcaid CHP Suffolk Mcaid * Comm = Commercial CHP Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 11 of 28 Managed Care Plan: HealthNow New York Inc. HMO (Health Maintenance Organization) Plan Type: 8/1/1985 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1140685 257 WEST Genesee Street Buffalo, NY 14202 New York State Corporate Address: (716) 887-6900 Telephone Number: Mr. David Anderson, President and CEO Chief Executive Officer: Participating Counties and Programs * Allegany Comm Mcaid Chemung Comm Comm Erie Comm Mcaid Comm Genesee Comm Monroe Comm Montgomery Comm Onondaga Comm Orleans Comm Mcaid Rensselaer Comm Saratoga Warren Comm Washington Wyoming Comm Mcaid Albany Comm Chautauqua Comm Mcaid Columbia Fulton CHP CHP Cattaraugus Comm Mcaid Clinton Comm Essex Comm Greene Comm Niagara Comm Oswego Comm Comm Schenectady Comm Comm Wayne Comm CHP CHP CHP Other Names Associated With This Plan * Comm = Commercial Dba Community Blue Dba Community Blue: Blue Cross Blue Shield of Western New York Dba Community Blue: Blue Cross Blue Shield of Western New York Dba Community Blue: Blue Shield of Northeastern New York Dba Community Blue: Blue Shield of Northeastern New York Dba Health Now Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 12 of 28 Managed Care Plan: HealthPlus, LLC PHSP (Prepaid Health Services Plan) Plan Type: Date Certified: 1/12/1996 Profit Status: For-profit DOH Plan Id: 2180196 9 Pine St., 14th Floor New York, NY 10005 New York State Corporate Address: (212) 372-6902 Telephone Number: Mr. John B. Stephenson, President Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid CHP Kings Mcaid CHP Nassau Mcaid CHP New York Mcaid CHP Putnam Mcaid CHP Queens Mcaid CHP Richmond Mcaid CHP Suffolk CHP Westchester Other Names Associated With This Plan * Comm = Commercial Dba AMERIGROUP Community Care Dba Empire Blue Cross Blue Shield HealthPlus Dba HealthPlus, an Amerigroup Company Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 13 of 28 Managed Care Plan: Hudson Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 6/22/1987 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2040287 303 South Broadway Suite 321 New York State Corporate Address: Tarrytown, NY 10591 (914) 631-1611 Telephone Number: Ms. Denise Gonick, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Dutchess CHP Orange CHP Rockland CHP Sullivan CHP Ulster CHP Westchester CHP Other Names Associated With This Plan Dba * Comm = Commercial HealthSource Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 14 of 28 Managed Care Plan: Independent Health Association, Inc. HMO (Health Maintenance Organization) Plan Type: 2/11/1980 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1070680 511 Farber Lakes Drive Buffalo, NY 14221 New York State Corporate Address: (716) 631-3001 Telephone Number: Dr. Michael Cropp, President & Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Allegany Comm Erie Comm Mcaid Orleans Comm * Comm = Commercial CHP Cattaraugus Comm Chautauqua Comm Genesee Comm Niagara Comm Wyoming Comm Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 15 of 28 Managed Care Plan: MetroPlus Health Plan, Inc. Special Needs Plan HIV/SNP (HIV Special Needs Plan) Plan Type: 2/14/2003 Date Certified: Profit Status: Not-for-profit DOH Plan Id: S99A008 160 Water Street, 3rd Floor New York, NY 10038 New York State Corporate Address: (212) 908-8600 Telephone Number: Dr. Arnold Saperstein, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid Queens Mcaid Kings Mcaid New York Other Names Associated With This Plan Dba * Comm = Commercial MetroPlus Health Plan Inc.-HIV Special Needs Plan Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus Mcaid New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 16 of 28 Managed Care Plan: MetroPlus Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 6/15/1985 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1130185 160 Water Street, 3rd Floor New York, NY 10038 New York State Corporate Address: (212) 908-8600 Telephone Number: Dr. Arnold Saperstein, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx Comm Mcaid CHP Queens Comm Mcaid CHP * Comm = Commercial Kings Mcaid = Medicaid Directory Produced by: DataLink Comm Mcaid CHP New York CHP = Child Health Plus Comm Mcaid CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 17 of 28 Managed Care Plan: MVP Health Plan, Inc. HMO (Health Maintenance Organization) Plan Type: 6/1/1983 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 1080383 625 State Street Schenectady, NY 12305 New York State Corporate Address: (800) 777-4793 Telephone Number: Ms. Denise Gonick, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Albany Comm Mcaid Broome Comm Cayuga Comm Chenango Comm Clinton Comm Columbia Comm Cortland Comm Delaware Comm Dutchess Comm Mcaid Essex Comm Franklin Comm Fulton Comm Genesee Comm Mcaid Greene Comm Hamilton Comm Herkimer Comm Jefferson Comm Mcaid Lewis Comm Livingston Comm Mcaid Madison Comm Monroe Comm Mcaid Montgomery Comm Oneida Comm Onondaga Comm Ontario Comm Mcaid Orange Comm Mcaid Orleans Comm Oswego Comm Otsego Comm Putnam Comm Rensselaer Comm Mcaid Rockland Comm Mcaid Saratoga Comm Mcaid Schenectady Comm Mcaid Schoharie Comm Seneca Comm St. Lawrence Comm Steuben Comm Sullivan Comm Mcaid Tioga Comm Tompkins Comm Ulster Comm Mcaid Warren Comm Mcaid Washington Comm Wayne Comm Westchester Comm Mcaid Wyoming Comm Yates Comm * Comm = Commercial CHP CHP CHP Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 18 of 28 Managed Care Plan: Neighborhood Health Providers, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 7/18/1995 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2150195 521 Fifth Avenue, 3rd floor New York, NY 10175 New York State Corporate Address: (212) 808-4775 Telephone Number: Ms. Patricia Wang, Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid CHP Kings Mcaid CHP New York Mcaid CHP Queens Mcaid CHP Richmond Mcaid CHP Suffolk Mcaid CHP * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 19 of 28 Managed Care Plan: New York State Catholic Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 9/3/1993 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2060193 5010 Campuswood Drive East Syracuse, NY 13057 New York State Corporate Address: (315) 437-1835 Telephone Number: Rev. Patrick J. Frawley, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Albany Mcaid CHP Allegany Mcaid CHP Bronx Mcaid CHP Broome Mcaid CHP Cattaraugus Mcaid CHP Cayuga Mcaid CHP Chautauqua Mcaid CHP Chemung Mcaid CHP Chenango Mcaid CHP Clinton Mcaid CHP Columbia Mcaid CHP Cortland Mcaid CHP Delaware Mcaid CHP Dutchess Mcaid CHP Erie Mcaid CHP Essex Mcaid CHP Franklin Mcaid CHP Fulton Mcaid CHP Genesee Mcaid CHP Greene Mcaid CHP Hamilton Mcaid CHP Herkimer Mcaid CHP Jefferson Mcaid Kings Mcaid CHP Lewis Mcaid CHP Livingston Mcaid CHP Madison Mcaid CHP Monroe Mcaid CHP Montgomery Mcaid CHP Nassau Mcaid CHP New York Mcaid CHP Niagara Mcaid CHP Oneida Mcaid CHP Onondaga Mcaid CHP Ontario Mcaid CHP Orange Mcaid CHP Orleans Mcaid CHP Oswego Mcaid CHP Otsego Mcaid CHP Putnam Mcaid CHP Queens Mcaid CHP Rensselaer Mcaid CHP Richmond Mcaid CHP Rockland Mcaid CHP Saratoga Mcaid CHP Schenectady Mcaid CHP Schoharie Mcaid CHP Schuyler Mcaid CHP Seneca Mcaid St. Lawrence Mcaid CHP Steuben Mcaid CHP Suffolk Mcaid CHP Sullivan Mcaid CHP Tioga Mcaid CHP Tompkins Mcaid CHP Ulster Mcaid CHP Warren Mcaid CHP Washington Mcaid CHP Wayne Mcaid CHP Westchester Mcaid CHP Wyoming Mcaid CHP Yates Mcaid Other Names Associated With This Plan * Comm = Commercial Dba Better Health Plan Dba Fidelis Care New York Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 20 of 28 Participating Counties and Programs * Albany Mcaid CHP Allegany Mcaid CHP Bronx Mcaid CHP Broome Mcaid CHP Cattaraugus Mcaid CHP Cayuga Mcaid CHP Chautauqua Mcaid CHP Chemung Mcaid CHP Chenango Mcaid CHP Clinton Mcaid CHP Columbia Mcaid CHP Cortland Mcaid CHP Delaware Mcaid CHP Dutchess Mcaid CHP Erie Mcaid CHP Essex Mcaid CHP Franklin Mcaid CHP Fulton Mcaid CHP Genesee Mcaid CHP Greene Mcaid CHP Hamilton Mcaid CHP Herkimer Mcaid CHP Jefferson Mcaid Kings Mcaid CHP Lewis Mcaid CHP Livingston Mcaid CHP Madison Mcaid CHP Monroe Mcaid CHP Montgomery Mcaid CHP Nassau Mcaid CHP New York Mcaid CHP Niagara Mcaid CHP Oneida Mcaid CHP Onondaga Mcaid CHP Ontario Mcaid CHP Orange Mcaid CHP Orleans Mcaid CHP Oswego Mcaid CHP Otsego Mcaid CHP Putnam Mcaid CHP Queens Mcaid CHP Rensselaer Mcaid CHP Richmond Mcaid CHP Rockland Mcaid CHP Saratoga Mcaid CHP Schenectady Mcaid CHP Schoharie Mcaid CHP Schuyler Mcaid CHP Seneca Mcaid St. Lawrence Mcaid CHP Steuben Mcaid CHP Suffolk Mcaid CHP Sullivan Mcaid CHP Tioga Mcaid CHP Tompkins Mcaid CHP Ulster Mcaid CHP Warren Mcaid CHP Washington Mcaid CHP Wayne Mcaid CHP Westchester Mcaid CHP Wyoming Mcaid CHP Yates Mcaid Other Names Associated With This Plan * Comm = Commercial Dba Better Health Plan Dba Fidelis Care New York Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 21 of 28 Managed Care Plan: OHP PHSP, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 1/20/1995 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2100195 335 Adams Street, 26th Floor Brooklyn, NY 11201 New York State Corporate Address: (866) 509-7999 Telephone Number: Mr. Daniel Phillips, Interim Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Bronx CHP Kings CHP Nassau CHP New York CHP Queens CHP Richmond CHP * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 22 of 28 Managed Care Plan: Oxford Health Plans (NY), Inc. HMO (Health Maintenance Organization) Plan Type: Date Certified: 6/1/1986 Profit Status: For-profit DOH Plan Id: 1170186 One Penn Plaza 8th Floor New York State Corporate Address: New York, NY 10119 (203) 459-6000 Telephone Number: Mr. William Golden, President and Chief Executive Officer Chief 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 = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 23 of 28 Managed Care Plan: Plan Type: Date Certified: Syracuse Community Health Center Managed Care Holding Compa PHSP (Prepaid Health Services Plan) 5/1/1987 Profit Status: Not-for-profit DOH Plan Id: 2020487 New York State Corporate Address: Telephone Number: Chief Executive Officer: 819 South Salina Street Syracuse, NY 13218 (315) 634-5555 Dr. Reuben Cowart, Chief Executive Officer Participating Counties and Programs * Cortland Mcaid CHP Tompkins Mcaid CHP * Comm = Commercial Onondaga Mcaid = Medicaid Directory Produced by: DataLink Mcaid CHP Oswego CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 24 of 28 Managed Care Plan: The New York-Presbyterian Community Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 11/1/1995 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2160195 525 East 68th Street Box 182 New York State Corporate Address: New York, NY 10021 (212) 297-5514 Telephone Number: Dr. Emilio Carrillo, Executive Director Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid Queens Mcaid * Comm = Commercial Kings Mcaid = Medicaid Directory Produced by: DataLink Mcaid New York CHP = Child Health Plus Mcaid New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 25 of 28 Managed Care Plan: UnitedHealthcare of New York, Inc. HMO (Health Maintenance Organization) Plan Type: Date Certified: 7/31/1987 Profit Status: For-profit DOH Plan Id: 1260187 77 Water Street 14th Floor New York State Corporate Address: New York, NY 10005 (800) 493-4647 Telephone Number: Mr. Pasquale Celli, Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Albany Mcaid CHP Bronx Mcaid CHP Broome Mcaid CHP Cayuga Mcaid CHP Chautauqua Mcaid CHP Chemung Mcaid CHP Chenango Mcaid CHP Clinton Mcaid CHP Columbia Mcaid CHP Dutchess Mcaid Erie Mcaid Essex Mcaid CHP Fulton Mcaid CHP Genesee Mcaid CHP Greene Mcaid Herkimer Mcaid CHP Jefferson Mcaid CHP Kings Mcaid CHP Lewis Mcaid Livingston Mcaid Madison Mcaid CHP Monroe Mcaid CHP Nassau Mcaid CHP New York Mcaid CHP Niagara Mcaid CHP Oneida Mcaid CHP Onondaga Mcaid CHP Ontario Mcaid Orange Mcaid CHP Oswego Mcaid CHP Queens Mcaid CHP Rensselaer Mcaid CHP Richmond Mcaid CHP Rockland Mcaid CHP Seneca Mcaid St. Lawrence Mcaid CHP Suffolk Mcaid CHP Tioga Mcaid Ulster Mcaid CHP Warren Mcaid CHP Wayne Mcaid Westchester Mcaid CHP Wyoming Mcaid CHP Other Names Associated With This Plan * Comm = Commercial Dba AmeriChoice by UnitedHealthcare Dba UnitedHealthcare Community Plan Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 26 of 28 Managed Care Plan: VNS Choice SNP HIV/SNP (HIV Special Needs Plan) Plan Type: 12/23/2011 Date Certified: Profit Status: Not-for-profit DOH Plan Id: S99B010 1250 Broadway, 11th Floor New York State Corporate Address: New York, NY 10001 (212) 609-5631 Telephone Number: Mr. Hany Abdelaal, President Chief Executive Officer: Participating Counties and Programs * Bronx Mcaid Queens Mcaid * Comm = Commercial Kings Mcaid = Medicaid Directory Produced by: DataLink Mcaid New York CHP = Child Health Plus Mcaid New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 27 of 28 Managed Care Plan: WellCare of New York, Inc. PHSP (Prepaid Health Services Plan) Plan Type: Date Certified: 2/12/1987 Profit Status: For-profit DOH Plan Id: 1240287 One New York Plaza 15th Floor New York State Corporate Address: New York, NY 10004 (212) 463-6100 Telephone Number: Mr. John Burke, President Chief Executive Officer: Participating Counties and Programs * Albany Mcaid Erie Mcaid New York Mcaid Queens Mcaid Schenectady Mcaid Ulster Mcaid * Comm = Commercial Bronx Mcaid CHP Dutchess Mcaid Kings Mcaid CHP Nassau Mcaid CHP Niagara Mcaid Orange Mcaid CHP CHP Rensselaer Mcaid Rockland Mcaid CHP Schuyler Mcaid Steuben Mcaid CHP CHP CHP Mcaid = Medicaid Directory Produced by: DataLink CHP = Child Health Plus CHP New York State Department of Health Division of Managed Care and Program Evaluation Managed Care Plan Directory Wednesday, February 10, 2016 Page 28 of 28 Managed Care Plan: YourCare Health Plan, Inc. PHSP (Prepaid Health Services Plan) Plan Type: 7/5/1996 Date Certified: Profit Status: Not-for-profit DOH Plan Id: 2190696 1120 Pittsford-Victor Road Pittsford, NY 14534 New York State Corporate Address: (800) 494-2215 Telephone Number: Mr. Dennis J. Graziano, President and Chief Executive Officer Chief Executive Officer: Participating Counties and Programs * Allegany Mcaid CHP Cattaraugus Mcaid Erie Mcaid CHP Monroe Mcaid Wyoming Mcaid * Comm = Commercial Mcaid = Medicaid Directory Produced by: DataLink CHP Chautauqua Mcaid Ontario Mcaid CHP = Child Health Plus CHP
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