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Partnership In Care (PIC) HIV
Partnership in Care (PIC) provides a team approach to caring for people living with HIV/AIDS and other select groups.
What does Partnership in Care (PIC) provide?
Coordinated care with an HIV specialist as your primary care provider (PCP)
A dedicated Health and Wellness Advisor to provide medical case management and care coordination services in consultation with your PCP
HIV primary and secondary prevention and risk reduction education and counseling
Harm reduction education and services
HIV treatment adherence services
Care advocacy services
Behavioral health and mental health services
You also receive all the benefits of Medicaid:
Prescriptions, including hormone therapy or hepatitis B and/or C treatment, if needed
Specialist care
Lab, x-rays, and other tests
Inpatient and outpatient hospital care
Nutritional assessment and guidance
Maternity and childcare, including care for children regardless of HIV status
Home care services
Personal care / home attendant services
Mental health and substance use disorder services
Dental care and vision care benefits
Adult day care and AIDS adult day health care
Hospice
Nursing home
Transportation to medical appointments*
* This benefit is coordinated by MAS for New York State Medicaid members; call 1-844-666-6272.
How do I enroll?
Enrollment in our HIV SNP is available all year through the Marketplace for qualified individuals. Visit nystateofhealth.ny.gov/.
If you would like help signing up, contact MetroPlusHealth at 1.855.809.4073 (TTY: 711).
Questions? Ready to sign-up?
Our Member Services team is always here to help. We are here Monday through Saturday from 8:00AM to 8:00PM. Just call 1.800.303.9626 (TTY:711).
Our 24/7 Customer Service Hotline will answer your call at other times and on holidays.
Medicare members can call us 24/7 at 1.866.986.0356 (TTY: 711).
If you are experiencing a mental health crisis, our Behavioral Health Crisis after hours partner — Vibrant Emotional Health — can be reached 24/7 at 1.866.728.1885 (SMS capable for the hearing impaired).
Important Message To Our Members Regarding CORE Services
Important Message to Our Members: Earn $100 in reward points for getting your COVID-19 vaccine!
Plan Materials
Starting May 16, 2022, the way Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS) are initially assessed will be changing. New York State is making this change in the initial assessment process to make it easier to get the services you need.
If you live in New York City, are on Medicaid, and are receiving care for transgender health, you may also be eligible to enroll. Your children may also qualify to enroll in the SNP. Learn more below.
Core Services Effective 2/1/22
Important Notice for Our Partnership In Care Members:
You may have recently received a notice telling you that effective October 1, 2021, MetroPlusHealth will begin to cover Applied Behavior Analysis for eligible members under the age of 21. New York State has decided that this benefit will be covered by Medicaid Fee-For-Service not by MetroPlusHealth. On October 1, 2021, if eligible, you will still be able to receive these services, but you will have to use your Medicaid card.
January 1, 2021 Member Notice
December 1, 2020 Member Handbook Insert
June 1, 2020 Member Handbook Insert
April 1, 2020 Member Handbook Insert
February 1, 2020 Member Handbook Insert
January 1, 2020 Member Handbook Insert
January 1, 2019 Member Handbook Insert
July 1, 2019 Member Handbook Insert
October 1, 2019 Member Handbook Insert
October 1, 2019 Infertility Handbook Insert
Did you know?
If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. Learn more here. If you have questions, please call Customer Services team at 1-800-303-9626. If you have Medicaid, you MUST apply for Medicare as a condition of continuing eligibility.
You can apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: https://www.ssa.gov/medicare/. You may be required to submit proof that you have applied for Medicare so please keep your award or denial letter from SSA or your on line receipt from SSA.
If you have more questions, please call our Customer Services team at 1-800-303-9626.
Pharmacy Network Change

Access to your doctor—whenever and wherever you need it!
MetroPlusHealth Virtual Visit is the fast, easy way for our members to see a provider for common physical, mental, emotional, and behavioral health issues that are not emergencies. MetroPlusHealth Virtual Visit is available anytime, from anywhere in New York State, 24/7 – and in your language.
GREAT NEWS: STARTING JANUARY 1, 2023, METROPLUSHEALTH MEMBERS WILL RECEIVE THEIR DENTAL BENEFITS FROM DENTAQUEST.
Know your rights and protections against surprise medical bills!
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.
Are you receiving care at an NYC Health + Hospitals facility?
Manage Your Health Online With MyChart. Members who receive care at NYC Health + Hospital facilities now have access to MyChart. MyChart is a free secure portal you can use to manage your health information. MyChart allows you to:
- Message your primary care provider’s office
- Request refills of your prescription drugs
- Access your test results
- Schedule appointments
Explore all MetroPlusHealth Plans





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