Sitemap
Pages
- Accessibility Disclaimer
- AdvantageCare Physicians for Gold / GoldCare Members
- AEP Seminars
- Change Healthcare
- Communications Opt In
- Diabetes and Depression May Be Linked
- Disaster Health & Safety Information
- Discount Drug Program
- Enhanced (HARP) Plan Member Rewards Program
- Essential Plan – Radio
- Essential Plan – Spanish Radio
- Essential Plan Broker Resources
- Essential Plan Member Rewards Program
- Executive Committee Meeting: Recorded Minutes
- Forms for Initial Application – Providers
- Getting Appointed
- Gig Workers
- Gig Workers ES
- Gold Campaign
- Gold Enrollment
- H+H Campaign
- Health Care for People. Not Profit
- HIV Testing – The Gateway to HIV Prevention
- Homepage – Chinese
- How can I enroll in MetroPlusHealth Insurance
- Important information on the expansion of the Essential Plan
- Information for Your Constituents
- Interoperability
- Living With Asthma
- Machine Readable Files
- Make the Medicare Switch
- Make the Medicare Switch – 2023
- Maternal Care, Mental Health & Race
- Medicaid Plan Member Rewards Program
- Medicare Age-In
- Medicare Plan Member Rewards Program
- Medication Directions
- Member Advisory Board: Your Voice Matters at MetroPlusHealth
- Member Handbooks
- Member Notice Regarding COVID-19 Services After May 11, 2023
- Member Rewards
- Member Rewards: Earn and Redeem Awards
- MetroPlus Provider Web Portal Terms and Conditions
- MetroPlusHealth Concierge Program
- MetroPlusHealth Flex Rewards Card
- MetroPlusHealth Flex Rewards Card
- MetroPlusHealth Marketing Team Wins Multiple Anthem Awards
- MetroPlusHealth opens enrollment of its Gold Health Plan
- MetroPlusHealth Wellness Card for Essential Plan Members
- METROPLUSHEALTH’S BEHAVIORAL HEALTH CARE MODEL SHOWS PROMISE IN ADDRESSING NEW YORK CITY’S MENTAL HEALTH CARE CRISIS, TWO-YEAR STUDY FINDS
- Mother’s EveryDay
- MPH’s Inaugural Diwali Celebration Lights Up the Office
- Myths and Facts about Smoking / Vaping Cessation Medication
- NYC Dream Weavers Media Kit
- NYC University Students
- Opt In
- Partnership in Care Member Rewards Program
- Pharmacy Change
- Plan Results
- Provider Quick Reference Guide
- Resource Library
- RSVP for November AEP Events
- Search Providers
- Search Providers
- Stop Smoking for Good
- Street Smarts – DJ Whutever
- Street Smarts LP
- Street Smarts- Influencer
- Subrogation Information
- Thank you for contacting MetroPlusHealth
- The Ultimate Guide To Cleaning Your Home For Cold And Flu Season
- This AAPI Heritage Month, Let’s All Take a Closer Look at Mental Health Care in Our Communities
- UltraCare (MAP) Plan Member Rewards Program
- Vendors
- We’re flipping the script
- Welcome Providers
- Welcome Providers (Staten Island)
- Welcome To MetroPlus Enrollment Application
- What Is Diabetes?
- Your Guide To Heart Disease
- Explore Plans
- Check Eligibility
- Enhanced (HARP) Plan
- Essential Plan
- Essential Plan
- Essential Plan – Spanish
- Essential Plan Certificate of Coverage
- Essential Plan Details
- Essential Plan Mental Health Resources
- Frequently Asked Questions – Essential Plan
- How can I enroll – Essential Plan
- How can I enroll – Essential Plan – Spanish
- Is The NY Essential Plan Medicaid?
- The Benefits of $0 Health Insurance
- The Definitive Guide to The Essential Plan
- What do I need to enroll – Essential Plan
- What’s The Difference Between NY’s Essential Plan 1 and 2?
- What’s The Difference Between NY’s Essential Plan 1 and 2? – Spanish
- Essential Plan
- Essential Plan
- Medicaid Managed Care
- Medicare 2025
- Medicare 2025 – Ecomm Sales draft
- Medicare 2026
- Frequently Asked Questions – Medicare
- How can I enroll – Medicare
- Medicare 2026 – Spanish
- Medicare Frequently Asked Questions – 2025
- Medicare Grievance, Coverage Determination and Appeals – 2025
- Medicare Medication Therapy Management – 2026
- Medicare Mental Health Resources
- Medicare Prescription Drug Information
- MetroPlus Advantage Plan (HMO D-SNP)
- MetroPlus UltraCare (HMO D-SNP)
- MetroPlusHealth Medicare Platinum Plan (HMO)
- What do I need to enroll – Medicare Plan
- NYC Care
- Special Needs, MLTC, HARP & Other
- Special Needs, MLTC, HARP & Other – Ecomm draft
- MetroPlusHealth Gold Plan
- MetroPlusHealth Gold Plan
- Individual + Family Plans
- Individual + Family Plans – Ecomm draft
- Marketplace Plans 2024
- Marketplace Plans 2025
- GoldPlus 2025
- GoldPlus 2025 – Ecomm detail GoldPlus 2025draft
- GoldPlus 2025 – Ecomm Sales draft
- GoldPrime 2025
- GoldPrime 2025 – Ecomm detail GoldPrime 2025 draft
- GoldPrime 2025 – Ecomm Sales draft
- SilverPlus 2025
- SilverPlus 2025 – Ecomm detail draft
- SilverPlus 2025 – Ecomm Sales SilverPlus 2025 draft
- PlatinumPlus 2025
- PlatinumPlus 2025 – Ecomm detail draft
- PlatinumPlus 2025 – Ecomm Sales draft
- BronzePlus 2025
- BronzePlus 2025 – Ecomm detail draft
- BronzePlus 2025 – Ecomm Sales draft
- Marketplace Plans 2026
- Child Health Plus – Paid Search
- Child Health Plus 2025
- Child Health Plus Plan Mental Health Resources
- Frequently Asked Questions – Child Health Plus
- How can I enroll – Child Health Plus
- How can I enroll – Child Health Plus – Spanish
- The Definitive Guide to Child Health Plus
- What do I need to enroll – Child Health Plus
- Child Health Plus 2025 – Spanish
- Child Health Plus 2025 Details
- Health Insurance Plans for NYC Employees
- Plans for Employees of the City of New York – Ecomm draft
- GoldCare Plan
- Medicare and Dual-Eligible Plans
- Medicare and Dual-Eligible Plans – Ecomm draft
- Become a Member
- Compare Plans
- Compare Plans – Ecomm draft
- For Members
- General Mental Health Resources
- Gym Reimbursement
- Health Topics & Information
- Annual Wellness Visit Form
- MetroPlusHealth on Navigating the Postpartum Journey
- Social Determinants of Health Resources
- Telehealth Literacy & Digital Literacy
- Behavioral Health
- Women’s Health & Maternity
- Weight Management
- Low Back Pain
- Hepatitis C
- Heart Health
- Eye Care Vision
- Dental Health
- Coronavirus
- Children’s Health
- Asthma
- Adolescent Health
- Colds and Flu
- Medication Adherence
- Domestic Violence
- Diabetes
- Allergies
- Antibiotic Awareness
- Smoking Cessation
- Take Care New York
- Cancer
- Lead Poisoning
- Living Well With HIV
- Sexually Transmitted Infections
- Opioids
- Men’s Health
- Member News & Alerts
- Member Newsletters
- Provider Authorization – Members
- Understanding Health Insurance Terms for New Yorkers
- What Does MetroPlusHealth Dental Coverage Cover?
- Where Can I Go For Care as a MetroPlusHealth Member?
- Find a Doctor, Dentist, or Specialist
- Find a Pharmacy | Formularies
- Member FAQs
- Pay My Premium
- Renew My Coverage
- Rights & Responsibilities
- Feedback
- Blog
- Start Your Free Virtual Doctor Visit
- Recertification Page
- In Your Community
- For Providers
- Claims
- Join Our Network
- Our Network
- Pay For Performance (P4P) Program
- Provider Resources
- Behavioral Health
- Credentialing Forms
- FAQs for Providers
- Forms, Manual and Policies
- Pharmacy Resources
- Provider Authorization – Providers
- Provider News & Communications
- Cost Sharing Updates
- Early Periodic Screening Diagnosis and Treatment (EPSDT) Services Through The Child
- ICD-10
- In-Office Lab Approval List
- Pharmacy Updates
- Provider Covid-19 Information
- Provider Newsletters
- Telehealth Updates
- Tuberculosis (TB)
- Utilization Management
- Vaccine Updates
- Voluntary Foster Care Agency
- Provider Training
- Help With Insurance
- For Brokers
- Sitemap
- Homepage
- Homepage
- Homepage
- Homepage
- Homepage – MediaCo
- Homepage – Spanish
- About Us
- Medicare Frequently Asked Questions – 2023
- Medicare Grievance, Coverage Determination and Appeals
- Medicare Medication Therapy Management
- Medicare Frequently Asked Questions – 2024
- Medicare Grievance, Coverage Determination and Appeals – 2024
- Medicare Medication Therapy Management – 2024
- Medicare Grievance, Coverage Determination and Appeals
- Medicare Medication Therapy Management
Posts by category
- Category: Coronavirus
- Category: Family
- Category: For Members
- Category: For Providers
- Category: Gold Fall Transfer Period
- Here’s a little-known fact about social workers: they provide more mental health services than any other group.
- Every day, NYC Health + Hospitals doctors, nurses and staff commit themselves to delivering high quality, affordable care.
- New York’s Best responds to thousands of emergencies every day, offering critical medical care to anyone in need.
- Are you married? Read about no-cost care for you and your partner.
- Many health plans hide costs in plain sight.
- Corrections work can be fulfilling work, but also stressful. It’s critical to have easy access to mental health services to maintain your well-being.
- For NYPD officers, keeping the city safe can be both rewarding and stressful.
- New York’s Strongest put their bodies on the line every day to keep the city clean and safe.
- Nowadays, working families have to make tough choices with limited dollars.
- NYC’s frontline workers deserve affordable, quality care.
- We salute New York’s Bravest for their commitment to protecting the life and property of New York City’s residents.
- Teachers, are you tired of figuring out copays and coinsurance every time you get care?
- Being single can be expensive, and costs are rising.
- Category: Health Info
- Category: Insurance Info
- Are you a refugee? Here’s how to get health insurance in New York City.
- What to do instead of paying for an emergency without insurance
- International student?
- On the job after 65?
- Health Care for City Employees
- City Employees – $0 Dietician Visits
- Quitting A Job
- Losing A Job
- Moving to New York
- Graduating College
- Surprise Bills
- Aging Out
- Get to Know Health Care
- HARP Services
- Coordination of Care
- Quality Management Program
- Category: Medicare
- Category: Mothers
- Category: NYC Dream Weavers
- Category: Services
- Category: Uncategorized
- Category: Vision + Dental
- Category: Wellness
Events
- 105th Precinct Community Baby Shower
- Qualitas of Life Pitch Event
- Pediatric Health Fair at Elmhurst Hospital
- QBP Father's Day Luncheon
- MetroPlusHealth Customer Experience & Marketing Committee Meeting
- MetroPlusHealth Audit & Compliance Meeting
- MetroPlusHealth Board of Directors Meeting
- MetroPlusHealth Finance Committee Meeting
- Flatbush Avenue Street Fair
- Queens Pride Festival
- Lincoln Hospital Ribbon Cutting Event
Press
- Why Early Speech Therapy Matters: Expanding Access for Children Who Need It Most
- Patient Access and Availability Survey
- 2026 NYSDOH Breast Cancer Surgery Policy Letter
- Changes to Care Management Services for Children’s Waiver Home and Community-Based Services (HCBS)
- New York State Medicaid Coverage of MRI Guided High Intensity Focused Ultrasound for Essential Tremor
- Breast Cancer Screening Guidelines (Age Criteria Update)
- Reminder: Status Update of OASAS Opioid Treatment Program (OTP) Bundles to Ambulatory Patient Groups (APG) Methodology
- MetroPlusHealth – Important Reminder: PCP Replacement for Provider Terminations
- New York State Medicaid Coverage of Tumor Treatment Field Therapy
- Additional Enhanced Rates for Evidence Based Practices (EBPs) within Children and Family Treatment and Support Services (CFTSS)
- Medicaid Practitioner Administered Drugs Update: CGT
- Long-Term Nursing Home Placement Notice Provider Memo
- MetroPlusHealth is proud to announce our 2026 Provider Pay for Performance (P4P) program
- Discontinuation of Children's Home and Community Based Services (HCBS) Day Habilitation Service
- Mayor Mamdani Joins DCWP and NYC HEALTH + HOSPITALS to Promote Free Tax Preparation Services for New Yorkers
- Coverage of Mobile Crisis Benefit in Essential Plans
- Mamdani Administration Announces New Youth Clinics at NYC Health + Hospitals/Woodhull and Queens
- PCP In-Office Non-allowable Services
- Healthcare Access Loan Repayment (HEALR) Program
- MetroPlusHealth Survey Finds New Yorkers Face Hard Choices Between Health Care and Cost of Living
- Expanding Coverage for Supplemental Breast Cancer Screenings Effective 1/1/26
- Medicaid Update - Updated Implementation Date: Ambulatory Patient Group Weight Adjustment for Phosphate Binders
- Spotlight on Two Recent Additions to the NYC Health + Hospitals/Elmhurst Pediatric Network
- Important Update for Medicaid Managed Care, PIC, & HARP Members
- Medicaid Update - Medicaid Coverage of Point of Care Syphilis Testing
- Medicaid Update – New York State Medicaid Coverage of Therapeutic Transcranial Magnetic Stimulation
- Announcing our new Utilization Management (UM) Software System
- Medicaid Drug Rebate Program – Billing Guidance for Practitioner-Administered Drugs
- NYS Medicaid Vision Care Codes Manual – Reminder on Billing for Contact Lens Fitting Services
- RE: Updated Guidance on Home and Community Based Services (HCBS) Compliance (Action Required)
- Notification of Billing Updates: Dual Diagnosis (DD) - Inpatient Services
- RE: Announcing our new Utilization Management (UM) Software System
- MetroPlusHealth Celebrates 10 Years of Dedicated Service to Jackson Heights Community
- Menopause Care Reaches New York Women with Elektra Health as the Leading Insurance-Covered Provider
- Virtual Menopause Care Provider Elektra Health Adds Payer Partners in N.Y.
- New Rate (Rate Code) and Other Billing Codes Combination for Health Home Plus and Assisted Outpatient Treatment (AOT)
- RE: Person-Centered Planning Training
- RE: Updated Rates for Health Home Plus 2.84% COLA, Retro-effective April 1, 2024
- RE: PROS Billing & Claiming Manual Update
- Project TEACH Training Series
- Availity Eligibility and Claim Inquiry Update
- SCNs for Medicaid Members: Support for Health and Daily Needs
- Re: Doula Services
- REMINDER: Mobile Crisis and Crisis Residence Benefit and Billing Guidance – Language Interpreter Services
- MetroPlusHealth Opens Community Office in Brighton Beach, Further Expanding Access to Care in Brooklyn
- Important Update on Settlement in Consumer Directed Personal Assistance Program (CDPAP)
- AMNY METRO, POLITICSNY, and Gay City News’ “2025 LGBTQ+ Power Players” Recognizes Mitchell Katz, MD, and Ken Louie
- RE: Updated Billing Changes to the Telehealth Audio-Only Modifier Use for OMH-Licensed/Designated Outpatient Programs Grid and Audio-Only Modifier Change
- Lab Reimbursement Policy
- 29-I Health Facility Billing Manual Update - Procedure Code 98016
- POLITICSNY and AMNY Honor NYC Health + Hospitals and MetroPlusHealth Leaders on 2025 “AAPI Power Players” List
- RE: HEALTH HOMES ADDED TO ELIGIBLE PROVIDERS FOR COMMUNITY HEALTH WORKERS
- Coverage for Prenatal Vitamins
- RE: TELEHEALTH - CHANGES TO AUDIO-ONLY BILLING
- RE: eConsults Expansion
- RE: SBHC COVERED SERVICES - DELAYED
- URGENT MESSAGE FOR OUR MEMBERS AND THEIR PAID CAREGIVERS:
- URGENT MESSAGE FOR YOUR PATIENTS AND THEIR PAID CAREGIVERS
- RE: New Medicare Behavioral Health Utilization Management (BHUM) and ABA Fax Line
- RE: Doula Services IMPACTED PLANS: Medicaid, HIV SNP, HARP and EP
- URGENT MESSAGE FOR YOUR PATIENTS AND THEIR PAID CAREGIVERS REGARDING CDPAP CHANGE
- RE: COVERAGE OF HYPOGLOSSAL NERVE STIMULATORS
- RE: Important Message from the Managed Long-Term Care Department to Providers Servicing Members with Medicaid and Medicare Coverage Receiving:
- RE: Status Update of Extension of Implementation of NYS OASAS COP Rate Codes
- RE: HOME SLEEP TEST
- RE: All Personalized Recovery Oriented Services (PROS) Providers
- Important Update for Medicaid Managed Care, PIC, & HARP Members: CDPAP Transitioning to New Statewide Fiscal Intermediary, Public Partnerships Ltd (PPL)
- Important Update for Managed Long Term Care (MLTC) Members: CDPAP Transitioning to New Statewide Fiscal Intermediary, Public Partnerships Ltd (PPL)
- Important Update for MAP Members: CDPAP Transitioning to New Statewide Fiscal Intermediary, Public Partnerships Ltd (PPL)
- MetroPlusHealth's Partnership with BetterDoctor: FAQ
- COVERAGE AND REIMBURSEMENT OF EVISITS
- Removal of Primary Care Provider (PCP) Name on ID Card
- Expanding Women’s Health Resources: Breast Reconstruction Surgery
- Expanded Reimbursement To Population For Adverse Childhood Experiences Screening
- Health Homes Serving Children Providers
- Self-administered Hormonal Contraception Medication Without a Prescription
- NCD PrEP for HIV Prevention 2025
- Expanding Coverage Requirements for Human Donor Milk
- Health Homes Serving Children Providers
- ALL Children HCBS and Health Home Providers
- NY 1332 Waiver - Diabetic and Pregnant Members for QHP
- ALL Children’s HCBS Providers
- Health Homes Serving Adults and/or Children
- NEW CHILD HEALTH PLUS BENEFITS, EFFECTIVE JANUARY 1, 2023, INCLUDING:
- Mandated Rate Update: ACT Reimbursement and Billing Changes
- Join Us for the MetroPlusHealth Annual Public Meeting
- NYC Health + Hospitals Leaders Recognized by Crain’s New York Business as Among ‘2024 Notable Leaders in Health Care’
- BEHAVIORAL HEALTH PROVIDERS RE: SCHOOL BASED MENTAL HEALTH CLINICS IN MENTAL HEALTH OUTPATIENT TREATMENT REHABILITATIVE SERVICES (MHOTRS) PROGRAM
- Important Reminder: Model of Care Training due by 12/31/2024
- Comprehensive Guidance Regarding Use of Telehealth including Telephonic Services After the Coronavirus Disease 2019 Public Health Emergency
- Payment Policy: E&M and Preventive Medicine Policy
- Updated Foster Care Provider Education Letter
- Model of Care Webinar
- Managed Long Term Care (MLTC) Policy 24.01: Non-Emergency Medical Transportation and Social Adult Day Cares
- End of Change Healthcare Appeal Timeframe
- Status Update of OASAS Part 822 Comprehensive Outpatient Treatment Program (COP)
- Status Update of OASAS Opioid Treatment Program (OTP) Bundles to Ambulatory Patient Groups (APG) Methodology
- METROPLUSHEALTH EXPANDS IMPACT IN THE BRONX WITH THE OPENING OF A SECOND COMMUNITY OFFICE
- Expanded Eligibility for Community Health Worker Services
- New York State Pharmacists Authorized to Dispense Hormonal Contraceptives Without Prescription
- Concurrent Review Memo for Crisis Residence Facilities
- Update on the Change Healthcare (CHC) Outage: Claims Timely Filing Requirements to be Reinstated July 1, 2024
- RE: NYS 2023-2024 BUDGET-SUBPART B, AMENDMENTS TO INCLUDE CRISIS RESIDENCE FACILITIES
- New York City FC anuncia que MetroPlusHealth es patrocinador oficial para seguros médicos
- New York City FC Announces MetroPlusHealth as Official Health Insurance Partner
- RE: eConsults
- NEW YORK STATE SEXUAL and ERECTILE DYSFUNCTION GUIDELINES: Medicaid Managed Care, Partnership in Care (PIC) HIV-SNP, Enhanced (HARP) Plan
- Re: MetroPlusHealth’s Essential Plan (EP) Members Who Report Becoming Pregnant
- Rx Carveout
- Providers must comply with the DOH, OMH, OASAS, and OPWDD issued Billing Updates to applicable codes, modifiers, and Place of Service (POS) requirements, for Medical and Mental Health Services.
- PROVIDER SEMINAR: CANCER AND ENVIRONMENT
- IMPORTANT REMINDER: Prescription Monitoring Program Registry
- URGENT MESSAGE: YOUR PATIENTS WILL LOSE THEIR MEDICAID COVERAGE UNLESS THEY RENEW
- Updated Provider Letter Regarding Foster Care 2023
- NOTICE TO OUR PROVIDERS REGARDING NEW YORK STATE MEDICAID’S REIMBURSEMENT POLICY FOR ADMINISTRATION OF COVID-19 VACCINES
- BILLING REQUIREMENT CHANGES AND UPDATES FOR CHILDREN’S HCBS AND CFTSS SERVICES
- Self-Disclosure Notification Protocol
- APPROVAL OF THE NOVAVAX COVID 19 VACCINE
- RE: Billing Guidance for Delivering Services in a Language Other Than English (LOE) Within MHOTRS Programs Impacted Plans: Medicaid, HARP, HIV SNP, AND MAP
- IMPACTED PLANS: MEDICAID, AND HIV SNP NEW YORK STATE MEDICAID COVERAGE OF RESPIRATORY SYNCYTIAL VIRUS MONOCLONAL ANTIBODY (NIRSEVIMAB) FOR INFANTS
- IMPORTANT MESSAGE FOR OUR PROVIDERS:
- IMPORTANT MESSAGE FOR OUR BEHAVIORAL HEALTH PROVIDERS
- HELP PATIENTS PREVENT DIABETES WITH LIFESTYLE TIPS
- URGENT MESSAGE: YOUR PATIENTS WILL LOSE THEIR MEDICAID COVERAGE UNLESS THEY RENEW
- Important Information on Covid 19 Services Coverage
- NOTIFICATION TO PROVIDERS REGARDING CHANGES TO COMPLIANCE CERTIFICATION REQUIREMENT
- New York State Department of Health (NYSDOH) Extends Post-Partum Health Coverage from 60 Days to 12 Months for Medicaid and Child Health Plus
- UPDATED New York State Medicaid Coverage Policy and Billing Guidance for Pharmacy Providers for the 2023-2024 COVID-19 Vaccines
- IMPORTANT MESSAGE FROM THE UTILIZATION MANAGEMENT DEPARTMENT TO PROVIDERS SERVICING MEMBERS WITH MEDICAID INCLUDING HARP AND PARTNERSHIP IN CARE (HIV SPECIAL NEEDS PLAN) COVERAGE RECEIVING:
- Updated Provider Letter Regarding Foster Care 2023
- Effective March 2024, MetroPlusHealth will be partnering with Verisys to simplify our credentialing process
- THE CAHPS SURVEY IS COMING THIS SPRING!
- Introducing ClarisHealth
- Change Healthcare Service Interruption
- Sanjiv S. Shah, M.D. Named to City & State’s 2024 New York Power 100 List
- RE: MOBILE CRISIS AND CRISIS RESIDENCE AUTHORITY AND REIMBURSEMENT CHANGES
- AMNY METRO AND POLITICSNY’S 2023 POWER PLAYERS IN HEALTH CARE RECOGNIZES NYC HEALTH + HOSPITALS LEADERSHIP
- METROPLUSHEALTH’S BEHAVIORAL HEALTH CARE MODEL SHOWS PROMISE IN ADDRESSING NEW YORK CITY’S MENTAL HEALTH CARE CRISIS, TWO-YEAR STUDY FINDS
- MetroPlusHealth Medicare Town Hall
- MetroPlusHealth Partners With PIX11 for the MetroPlusHealth Medicare Town Hall Airing on October 22
- MetroPlusHealth Names Laura Santella-Saccone as New Chief Marketing and Brand Officer
- MetroPlusHealth Announces Mary DiGangi as New Chief People Officer
- A Huge Win | Una Gran Victoria
- MetroPlusHealth Teams up With Community Groups to Gift 30,000 Backpacks to NYC Students
- MetroPlusHealth Lanza Una Nueva Herramienta de Recursos en Línea para Trabajadores Independientes
- MetroPlusHealth Launches New Online Resource Tool for Gig Workers
- Got Medicaid? Renew Your Coverage to Keep It That Way
- IMPORTANT UPDATE: TIMELY CLAIM FILING REQUIREMENTS
- The 2023 NYC Motherhood Report
- 70% OF WOMEN WISH THEY KNEW MORE ABOUT POSTPARTUM MENTAL HEALTH BEFORE GIVING BIRTH, WITH HIGHER PERCENTAGES IN MINORITY COMMUNITIES: METROPLUSHEALTH SURVEY
- The 2023 Power of Diversity: Asian 100
- Expanded Health Coverage is a Win for All; State Leaders Should Include it in Final Budget Deal
- Joint Legislative Budget Hearing on Health in Albany – Dr. Talya Schwartz’s Testimonial
- Dahlia Philips, M.D., Named Medical Director of MetroPlusHealth's Partnership in Care (PIC) Special Needs Plan
- NYC Health + Hospitals Leadership Named to City & State’s “2023 Health Care Power 100” List
- NYC HEALTH + HOSPITALS AND METROPLUSHEALTH OFFER FREE TAX PREPARATION FOR ELIGIBLE PATIENTS AND NEW YORKERS
- NYC Dream Weavers Media Kit
- MetroPlusHealth Announces Winning FIT Designs for NYC Dream Weaver Uniform Design Challenge
- MetroPlusHealth Rings in the Year of the Rabbit with Lunar New Year Celebrations Across New York City
- IMPORTANT NOTICE TO OUR APPLIED BEHAVIORAL ANALYSIS (ABA) PROVIDERS REGARDING 2023 ABA BENEFIT CHANGES
- IMPORTANT NOTICE TO OUR PEDIATRIC PRIMARY CARE PROVIDERS REGARDING 2023 ENHANCED CHILDREN’S BENEFITS
- IMPORTANT NOTICE FOR PROVIDERS: Understanding How Adverse Childhood Experiences Affect Patients' Health Across the Lifespan
- IMPORTANT NOTICE TO 1915(c) CHILDREN’S WAIVER RESPITE HCBS PROVIDERS:
- MetroPlusHealth Spreads Local Holiday Cheer with Community Resource Fairs
- IMPORTANT NOTICE: PHARMACY BILLING GUIDANCE EXCEPTIONS FOR NON-ENROLLED PRESCRIBERS
- MetroPlusHealth to Distribute 7,000 Bags of Produce to New Yorkers in Need for the Holidays
- Dr. Wendy Wilcox, Dr. Michelle McMacken, and Roger Milliner Named Power Players in Health Care
- MetroPlusHealth Opens Enrollment to City Employees For its Gold Health Plan
- mPulse Mobile Recognizes Leaders in Health Equity and Innovation in its Fifth Annual Activate 2022 Awards
- Mayor Adams Expands Efforts to Connect Patients Experiencing Homelessness to Stable, Affordable Housing, Delivers on Promise in Housing Blueprint Released Earlier This Year
- MetroPlusHealth Announces Eight FIT Student Finalists for NYC Dream Weaver Uniform Re-Design Challenge
- IMPORTANT NOTICE FOR OUR PROVIDERS
- The STARS Align - MetroPlusHealth Earns 4 Star-Rating From The Centers for Medicare & Medicaid Services (CMS)
- iHeartMedia New York To Launch Awareness Campaign Addressing City’s Black Maternal Mortality Crisis
- MetroPlusHealth Board Chair & NYC Health + Hospitals Board Member, Sally Hernández-Piñero Named To Crain’s 2022 Notable Hispanic Leaders List
- METROPLUSHEALTH NAMES ERIN M. DRINKWATER NEW CHIEF OF GOVERNMENT RELATIONS & STRATEGIC PARTNERSHIPS
- METROPLUSHEALTH ANNOUNCES REBRAND TO SHOWCASE A HEALTH PLAN MADE FOR THE NEEDS OF NEW YORKERS – PUTTING PEOPLE, NOT PROFIT, FIRST
- METROPLUSHEALTH OFFERING FREE DIETICIAN VISITS TO GOLD PLAN MEMBERS
- METROPLUSHEALTH OFFERING FREE DIETICIAN VISITS TO GOLD PLAN MEMBERS
- METROPLUSHEALTH PROMOTES LILA BENAYOUN TO CHIEF OPERATING OFFICER
- METROPLUSHEALTH PARTNERS WITH SUNY FIT NYC FOR AN ICONIC NEW YORK CITY BRAND DESIGN CONTEST
- NYS DOH INTRODUCES A NEW PROCESS FOR PERSONAL CARE SERVICES (PCS)
- METROPLUSHEALTH DOUBLES DOWN IN HARLEM WITH NEW FLAGSHIP OFFICE AS PART OF ITS ONGOING COMMITMENT TO SERVING NYC’S DIVERSE COMMUNITIES
- METROPLUSHEALTH PARTNERS WITH CITY AGENCIES TO PROVIDE RESOURCES TO STUDENTS STUDYING IN NEW YORK CITY
- CITY & STATE NAMES THREE NYC HEALTH + HOSPITALS EXECUTIVES TO ITS MANHATTAN “POWER 100” LIST
- SEVEN NYC HEALTH + HOSPITALS EMPLOYEES NAMED TO CRAIN’S 2022 LIST OF “NOTABLE HEALTH CARE LEADERS
- METROPLUSHEALTH EXPANDS FREE ACCESS TO DIETITIANS TO CITY WORKERS & THEIR FAMILIES UNDER GOLD PLAN
- METROPLUSHEALTH LAUNCHES IN-LIEU-OF SERVICES MEDICALLY TAILORED MEALS PILOT PROGRAM
- METROPLUSHEALTH PROMOTES JULIE MYERS, M.D., M.P.H., TO DEPUTY CHIEF MEDICAL OFFICER
- METROPLUSHEALTH SUPPORTS COMMUNITY ORGANIZATIONS IN PRIDE CELEBRATIONS ACROSS NEW YORK CITY
- IMPORTANT NOTICE TO OUR PROVIDERS: UPDATED GUIDANCE REGARDING COVID COUNSELING BILLING, CODING, AND REIMBURSEMENT
- IMPORTANT INFORMATION FOR OUR PROVIDERS REGARDING BABY FORMULA RESOURCES
- IMPORTANT INFORMATION FOR OUR MEMBERS REGARDING BABY FORMULA RESOURCES
- DISCONTINUED COVERAGE FOR TERSERA THERAPEUTICS LLC DRUGS EFFECTIVE MAY 14, 2022: UPDATE FOR METROPLUSHEALTH MEDICAID MANAGED CARE, PARTNERSHIP IN CARE (PIC) HIV-SNP, AND ENHANCED (HARP) PLAN MEMBERS
- SHARK TANK’S KEVIN O’LEARY HOSTS “RENEWAL FOR NEW YORK” EVENT HONORING METROPLUSHEALTH PRESIDENT & CEO DR. TALYA SCHWARTZ
- METROPLUSHEALTH SURVEY FINDS AAPI WOMEN FACE INCREASED BARRIERS TO MENTAL HEALTH ACCESS AND SUPPORT IN NYC
- METROPLUSHEALTH AND NYC HEALTH + HOSPITALS’ DR. ERIC WEI NAMED TO CITY & STATE’S “2022 POWER OF DIVERSITY: ASIAN 100”
- METROPLUSHEALTH BOARD CHAIR SALLY HERNANDEZ PIÑERO NAMED TO THE CITY & STATE 2022 ABOVE AND BEYOND
- MEDICATION ASSISTED TREATMENT (MAT) FORMULARY UPDATE FOR METROPLUSHEALTH MEDICAID MANAGED CARE, PARTNERSHIP IN CARE (PIC) HIV-SNP, AND ENHANCED (HARP) PLAN MEMBERS
- CRAIN’S 2022 LIST OF “NOTABLE BLACK LEADERS” RECOGNIZES EXECUTIVES AT NYC HEALTH + HOSPITALS, COMMUNITY CARE, AND METROPLUSHEALTH
- CRAIN’S 2022 LIST OF “NOTABLE BLACK LEADERS” RECOGNIZES EXECUTIVES AT NYC HEALTH + HOSPITALS, COMMUNITY CARE, AND METROPLUSHEALTH
- NEW YORK CITY HEALTH + HOSPITALS/ELMHURST JOINS METROPLUSHEALTH IN LUNAR NEW YEAR CELEBRATIONS
- DR. TALYA SCHWARTZ, PRESIDENT AND CEO OF METROPLUSHEALTH, NAMED TO CITY & STATE’S HEALTH CARE POWER 100
- IMPORTANT MESSAGE TO OUR PROVIDERS: PCP IN-OFFICE NON-ALLOWABLE SERVICES
- IMPORTANT MESSAGE TO OUR MEMBERS REGARDING CORE SERVICES
- IMPORTANT MESSAGE TO OUR BEHAVIORAL HEALTH PROVIDERS REGARDING CORE SERVICES
- IMPORTANT MESSAGE TO OUR PROVIDERS REGARDING FOSTER CARE
- IMPORTANT MESSAGE REGARDING OUR PHARMACY NETWORK
- IMPORTANT MESSAGE FOR OUR PROVIDERS: ANNUAL MEDICARE SPECIAL NEEDS PROGRAM (SNP) MODEL OF CARE (MOC) PROVIDER TRAINING
- DR. MITCHELL KATZ AND DR. TALYA SCHWARTZ NAMED TO AMNY METRO AND POLITICSNY’S 2021 “POWER PLAYERS IN HEALTHCARE” LIST
- METROPLUSHEALTH BRINGS BEHAVIORAL HEALTH SERVICES IN-HOUSE, CITING NEED FOR INTEGRATED CARE OF BODY AND MIND
- CULTURAL COMPETENCY TRAINING FOR OUR MEDICAID, PIC, AND HARP PROVIDERS:
- METROPLUSHEALTH LAUNCHES CAMPAIGN TO EDUCATE NEW YORK CITY MUNICIPAL EMPLOYEES ABOUT HEALTH INSURANCE OPTIONS
- MORE THAN HALF (55%) OF NEW YORKERS SAY PANDEMIC HAS NEGATIVELY AFFECTED THEIR MENTAL HEALTH IN SURVEY COMMISSIONED BY METROPLUSHEALTH
- CLOZAPINE RISK EVALUATION AND MITIGATION STRATEGY (REMS) PROGRAM
- IMPORTANT REMINDER TO OUR PROVIDERS ABOUT EP BENEFIT CHANGE
- FLUSHING DEVELOPMENT CENTER TO HOST 21ST ANNUAL MID-AUTUMN FESTIVAL IN FLUSHING, QUEENS. METROPLUSHEALTH HOSTS PRE-EVENT PRESS CONFERENCE
- IMPORTANT NEWS FOR BEHAVIORAL HEALTH
- METROPLUSHEALTH OPENS FLAGSHIP OFFICE IN THE HEART OF FLUSHING, QUEENS – PART OF ONGOING COMMITMENT TO SERVING NEW YORK CITY’S DIVERSE COMMUNITIES
- METROPLUSHEALTH RANKS #1 IN 2020 MEDICAID QUALITY INCENTIVE PROGRAM OUTPERFORMS ALL NEW YORK HEALTH INSURANCE PLANS IN NEW YORK STATE QUALITY INCENTIVE RANKINGS
- METROPLUSHEALTH TO PROVIDE HEALTH INSURANCE COVERAGE AND COMPREHENSIVE CARE MANAGEMENT TO OVER 1,000 NEW YORK CITY YOUTH IN FOSTER CARE
- IMPORTANT REMINDER FOR ALL HEALTH CARE PROVIDERS FROM NYS DOH
- IMPORTANT NOTICE TO OUR MEDICAID MEMBERS: ANNOUNCING A NEW FOSTER CARE TRANSITION TO MEDICAID MANAGED CARE- SPECIAL POPULATION
- IMPORTANT NOTICE TO OUR PROVIDERS: ANNOUNCING A NEW FOSTER CARE TRANSITION TO MEDICAID MANAGED CARE- SPECIAL POPULATION FOR MEDICAID AND SPECIAL NEEDS PLAN MEMBERS
- LIEUTENANT GOVERNOR KATHY HOCHUL JOINS METROPLUSHEALTH CEO AND PROMINENT NEW YORKERS AT VIRTUAL TOWN HALL TO STAND UP AGAINST ANTI-ASIAN HATE
- METROPLUSHEALTH TO HOST VIRTUAL TOWN HALL: STAND UP AGAINST ANTI-ASIAN HATE
- EARLY AGE ONSET COLORECTAL CANCER SUMMIT
- METROPLUSHEALTH ANNOUNCES NEW EXECUTIVE APPOINTMENT: LAUREN LEVERICH CASTALDO AS CHIEF FINANCIAL OFFICER
- METROPLUSHEALTH CEO DR. TALYA SCHWARTZ’S OP-ED ADDRESSING IMPACT OF AMERICAN RESCUE PLAN FEATURED IN TODAY’S AMNY
- METROPLUSHEALTH CEO DR. TALYA SCHWARTZ’S OP-ED ADDRESSING IMPACT OF AMERICAN RESCUE PLAN FEATURED IN TODAY’S AMNY
- NYC HEALTH + HOSPITALS OPENS NEW COVID-19 “CENTERS OF EXCELLENCE”
- METROPLUSHEALTH NAMES LESLEIGH IRISH-UNDERWOOD NEW CHIEF BRAND AND EXTERNAL RELATIONS OFFICER
- CITY & STATE NAMES DR. MITCHELL KATZ TO “2021 NYC POWER 100” LIST
- CITY & STATE NAMES DR. MITCHELL KATZ TO “2021 NYC POWER 100” LIST
- METROPLUSHEALTH ANNOUNCES NEW EXECUTIVE APPOINTMENT: MICHELLE REAY AS CHIEF OPERATING OFFICER
- METROPLUSHEALTH RANKED NEW YORK CITY’S HIGHEST-RATED HEALTH PLAN, AWARDED 5 STARS BY ITS MEMBERSHIP IN ANNUAL SURVEY OF NEW YORK CITY’S STATE-SPONOSORED HEALTH INSURANCE PLANS
- IMPORTANT PROVIDER NOTIFICATION
- PROVIDER NOTIFICATION NEW FAX NUMBER
- RENTAL ASSISTANCE IS HERE FOR NEW YORKERS IN NEED
- METROPLUSHEALTH TEAMS UP WITH ARTISTS AND CREATORS TO HELP UNEMPLOYED ASIAN AMERICAN NEW YORKERS IMPACTED BY COVID-19
- THE GREAT AMERICAN SMOKEOUT 2020 EVENT
- GET VACCINATED FOR FREE!
- ELECTRONIC VISIT VERIFICATION (EVV)
- IN-OFFICE LAB APPROVAL LIST
- NEW MEDICARE PART B DRUGS STEP THERAPY, EFFECTIVE DECEMBER 1, 2020
- DFS CIRCULAR LETTER REGARDING NOT CHARGING MEMBERS FOR PPE RELEASED
- METROPLUS HEALTH PLAN’S DEPUTY CHIEF MEDICAL OFFICER, DR. AMANDA PARSONS, PUBLISHES PAPER IN THE AMERICAN JOURNAL OF PUBLIC HEALTH
- METROPLUS HEALTH PLAN TO RECEIVE AWARD FOR LAUNCH OF VITAL 24/7 TELEHEALTH SERVICES TO MEMBERS IN MIDST OF COVID-19 PANDEMIC
- NEW YORK CITY PHARMACIES PARTICIPATING IN THE FREE NYC EMERGENCY OVERDOSE RESCUE KIT PROGRAM
- NEW YORK CITY PHARMACIES PARTICIPATING IN THE FREE NYC EMERGENCY OVERDOSE RESCUE KIT PROGRAM
- EXTREME HEAT AND YOUR HEALTH
- HELP PREVENT HEAT-RELATED ILLNESS AND DEATH AMONG HEAT-VULNERABLE PEOPLE DURING THE COVID-19 PANDEMIC
- METROPLUS HEALTH PLAN, IN CONJUNCTION WITH THE NYC COVID-19 RAPID RESPONSE COALITION, PARTNERS TO CONNECT 80,000 OF PLAN’S MOST AT-RISK MEMBERS TO CRUCIAL HEALTH & SOCIAL SERVICES
- IMPORTANT INFORMATION FOR INSURERS AND PROVIDERS ON COVERAGE FOR MENTAL HEALTH SERVICES FOR ESSENTIAL WORKERS
- NO TELEHEALTH/TELEPHONE COST-SHARING FOR MEMBERS
- METROPLUS HEALTH PLAN, RESPONDING TO COVID-19 CRISIS, ANNOUNCES NEW INITIATIVE TO DELIVER FOOD AND SAFETY CARE PACKAGES TO 10,000 OF ITS MOST VULNERABLE MEMBERS
- METROPLUS HEALTH PLAN, RESPONDING TO COVID-19 CRISIS, ANNOUNCES ENHANCED ONLINE WEBSITES, RADICALLY IMPROVING ENGAGEMENT FOR NEARLY 545,000 MEMBERS AND MORE THAN 23,000 OF THE PLAN’S PROVIDERS
- IN RESPONSE TO THE COVID-19 CRISIS, METROPLUS HEALTH PLAN NOW OFFERING MEDICAL AND MENTAL TELEHEALTH PROVIDER VISITS VIA VIDEO TO ITS MEMBERS
- NO TELEHEALTH/TELEPHONE COST-SHARING FOR METROPLUS MEMBERS
- CORONAVIRUS UPDATE: METROPLUS WILL WAIVE COST-SHARING FOR CORONAVIRUS TESTING
- CORONAVIRUS UPDATE: METROPLUS WILL WAIVE COST-SHARING FOR CORONAVIRUS TESTING
- METROPLUS ANNOUNCES NEW ASSOCIATE MEDICAL DIRECTOR – JULIE MYERS, M.D., M.P.H
- FACT SHEET: WHAT YOU NEED TO KNOW ABOUT THE NEW FEDERAL PUBLIC CHARGE RULE AND HEALTH INSURANCE
- 2019 NOVEL CORONAVIRUS ALERT
- 2019 NOVEL CORONAVIRUS ALERT
- METROPLUS MEDICARE ADVANTAGE J-CODE AUTHORIZATION UPDATE
- CHOOSING WISELY: LABORATORY TESTS
- PROVIDER EDUCATION MESSAGE FROM CMS
- DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES) SERVICES
- METROPLUS ANNOUNCES START OF ANNUAL OPEN ENROLLMENT PERIOD FOR ITS GOLD HEALTH PLAN OPTION OFFERED TO CITY EMPLOYEES
- AS PART OF NATIONAL BREAST CANCER AWARENESS MONTH, METROPLUS HEALTH PLAN CEO, TALYA SCHWARTZ, M.D., OUTLINES STRATEGIES TO COMBAT THIS DISEASE
- METROPLUS HEALTH PLAN REDESIGNS ITS WEBSITE TO SUPPORT MEMBERS AND PROVIDERS AND BE MOBILE FOCUSED
- FLU SEASON IS HERE! METROPLUS HEALTH PLAN URGES ALL NEW YORKERS TO GET THEIR FLU SHOT. PROTECT YOURSELVES AND OTHERS!
- FLU SEASON IS HERE! METROPLUS HEALTH PLAN URGES ALL NEW YORKERS TO GET THEIR FLU SHOT.
- NEW MEDICAID MANAGED CARE INFERTILITY SERVICES
- REVISED AND CLARIFIED PLACE OF SERVICE CODING INSTRUCTIONS
- CHANGE TO PRIOR AUTHORIZATIONS PROCESS – SPECIALTY PHARMACY
- CHILDREN’S MEDICAID SYSTEM TRANSFORMATION GUIDANCE FOR THE TRANSITIONAL PERIOD JANUARY 1, 2019 – JANUARY 1, 2020
- METROPLUS CONTRACTS WITH HMS IN DISALLOWANCE PROCESS
- MEDICARE PART D STRATEGIES TO COMBAT OPIOID OVERUSE
- CHANGE TO OPIOIDS PHARMACY BENEFIT
- CHILDREN’S SPECIAL SERVICES (CSS) PROGRAM
- PUBLIC HEALTH RISK ALERT – CANDIDA AURIS
- CHILDREN’S MEDICAID SYSTEM TRANSFORMATION BILLING AND CODING MANUAL
- METROPLUS TO MANAGE IMAGING UM
- INTEGRA PARTNERS TO MANAGE DME UTILIZATION
- UPDATE TO UNIVERSAL BILLING CODES FOR LONG-TERM CARE SERVICES
- FOR PROVIDERS WHO SERVE OUR MEDICAID AND HARP MEMBERS:
Landing Page
Folders
last updated: July 12, 2022