Centers Plan for Medicaid Advantage Plus (HMO D-SNP)
Welcome to Centers Plan for Medicaid Advantage Plus (HMO D-SNP)!
Centers Plan for Medicaid Advantage Plus brings your Medicare benefits, Medicaid benefits, and long-term care services together under one plan. This plan was designed for people with Medicare and full Medicaid who need, or are expected to need, at least 120 days of community-based long-term care services. Centers Plan for Medicaid Advantage Plus allows you to remain in your home and community, receiving the services you need to maintain your health and safety.
As a member, you will be assigned a Nurse Care Manager who is a licensed professional who will work with you to help you:
- Manage your medical and long-term care needs;
- Work with your primary care physician to obtain needed services:
- Identify your goals;
- Create a plan of care to achieve those goals; and
- Help coordinate all your health services.
Centers Plan recognizes that the more information we provide, the better informed you, your family and your physicians will be to make the right decisions regarding your healthcare. This member section is designed to provide you with easy to use, searchable information that others have found helpful, as they plan for years of healthy living!
This information is available for free in other languages. Please call Member Services at 1-833-274-5627, TTY users please call 711, from 8:00 AM to 8:00 PM seven days a week.
Esta información puede estar disponible en diferentes idiomas o formatos. Favor de llamar al 1-833-274-5627 (TTY 711) de 8:00 a.m. a 8:00 p.m., 7 días a la semana. Si necesita obtener información en otro formato o idioma, comuníquese con el Servicio de Atención al Cliente al número mencionado anteriormente.
MAP Frequently Asked Questions
MAP Eligibility Requirements / Plan Highlights 2020
MAP Eligibility Requirements / Plan Highlights 2021
MAP Materials 2020
MAP Materials 2021
MAP Grievances & Appeals
Part D Prescription Drug Program
- Part D Overview 2020
- Part D Overview 2021
- Benefit Highlights
- Medication Pricing
- Medicare Prescription Drug Coverage Determination Information
- Request for Redetermination of Medicare Prescription Drug Denial form
- Prescription Drug Transition Policy
- How to Submit a Prescription Drug Reimbursement Claim Form
MAP Care Management Services
MAP Service Authorizations
Centers Plan for Healthy Living’s (CPHL’s) Utilization Management Team (UM) focuses on the premise that quality medical care is the single-most-important element in delivering health care services. Our UM program is a coordinated and comprehensive program designed to monitor access to health care services to members. CPHL’s Utilization Management decisions are based solely on the medical necessity and appropriateness of care and service. Medical necessity means health care and services that are necessary to prevent, diagnose, manage or treat conditions in the person that cause acute suffering, endanger life, result in illness or infirmity, interfere with such person's capacity for normal activity, or threaten some significant handicap.
MAP Service Areas
Centers Plan for Medicaid Advantage Plus (HMO D-SNP) serves the following 7 counties in New York State:
- Kings (Brooklyn)
- New York (Manhattan)
- Richmond (Staten Island)
- Rockland Counties
MAP Contact Us
By phone (toll free): 1-833-274-5627
Seven days a week, 8AM-8PM
TTY/TDD users (toll free): 711
By email: email@example.com
Centers Plan for Health Living
75 Vanderbilt Ave
Staten Island, NY 10304
If you have an urgent concern,you can contact us 24 hours a day,7 days a week at 1-833-274-5627