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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 SNP Special Needs Plan Mainstream Medical Assistance Medicaid Advantage Medicaid Advantage FIDA IDD Fully Integrated Duals Advantage Plan Intellectual and Developmental Disabilities HARP Health and Recovery Plan Plan Code Plan ID# PCP Provider Name Telephone Number Plan Type 82 00477156 Affinity Health Plan, Inc.
Information for All Providers – Managed Care Information Version 2021-2 July 30, 2021 Page 4 of 7 Plan Code Plan ID# PCP Provider Name Telephon e Number Plan Type
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