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INFORMATION FOR ALL PROVIDERS MANAGED CARE …

INFORMATION for All PROVIDERS MANAGED care INFORMATION NEW YORK STATE MEDICAID PROGRAM INFORMATION FOR ALL PROVIDERS MANAGED care INFORMATION INFORMATION for All PROVIDERS MANAGED care INFORMATION Version 2021-1 March 8, 2021 Page 2 of 7 Table of Contents PREPAID CAPITATION PLANS (PCP) .. 3 COUNTY/DISTRICT 7 INFORMATION for All PROVIDERS MANAGED care INFORMATION Version 2021-1 March 8, 2021 Page 3 of 7 Prepaid Capitation Plans (PCP) Key: Plan Type Abbreviatio n descriptio n Model Co ntract Link Partial LTC Lo ng Term care : Partial Capitatio n LTC Pace Lo ng Term care : PACE Medicaid Adv Plus Lo ng Term care : Medicaid Advantage Plus FHP Family Health Plus

Managed Long Term Care Inc) (866) 263-9083 TTY (800) 662-1220 LTC Pace AF 04342307 Affinity Health Plan – Enriched Plan (800) 553-8247 HARP AG 03481927 AgeWell New York, LLC (866) 586-8044 TTY (800) 662-1200 Partial LTC AH …

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