Dear Valued Provider:

If you don’t help your patients act soon, they will lose their Medicaid coverage. While Medicaid members were automatically renewed over the Pandemic, the Public Health Emergency ended in May and enrollees must now go through a rigorous and complex redetermination process to keep their Medicaid coverage.

All members in the following MetroPlusHealth Plans are impacted:

  • Medicaid Managed Care
  • Child Health Plus (CHP)
  • Essential Plan
  • Enhanced (HARP) Plan
  • Partnership in Care (PIC) HIV SNP
  • UltraCare (MAP)
  • Losing coverage will mean disruption of care, negatively impacting the health of your patients, a decline in your patient roster, the potential for claim denials due to eligibility and a negative impact on incentive-based rewards.

    5 things all Healthcare Providers of care can do today:
    1. Direct members to MetroPlusHealth Customer Success Specialist via phone at 212.908.3300 or online at https://metroplus.org/renew/
    2. Utilize all patient interactions to remind patients of the need to renew coverage
    3. Make use of MetroPlusHealth’s recertification collateral (brochures, banners, fliers, etc.) Providers can send an email to [email protected] to request these materials.
    4. Ensure front line staff are verifying recertification dates during registration, scheduling, etc. so there is no gap in coverage. Front line staff should re-familiarize themselves with the recertification process, including documentation needed to submit for member renewal as members will be receiving notices regarding renewal which will result in increased questions and requests for assistance.
    5. Primary Care Practices can get a roster of their MetroPlusHealth members with the recertification date by logging in to the Provider Portal at https://metroplushealth.my.site.com/Providers/s/login/.

    Questions? The Provider Call Center can help. Call 800.303.9626.

    Thank you, as always, for all you do to support our members.


last updated: March 13, 2024

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