Healthplus Medicaid Provider Phone Number


Looking For Affordable Healthcare Coverage

Star Plus – Medicare Medicaid

Sutter Health Plus offers affordable health plans designed to meet the needs of individuals and families, small business owners, and large employer groups.

Search for a provider or facility that is part of the Sutter Health Plus network of care.

View and access pharmacy benefits for Sutter Health Plus members.

Weekdays, 8:00 am 7:00 pm

Nurse Advice Line24 hours a day, 7 days a week

/7 Access To Telemedicine With Teladoc*

Talk to a doctor any timefor a $0 copay. Connect with board-certified doctors through video chat or phone for prescriptions, help diagnosing and treating non-emergency conditions, and more. Access to dermatologists is also available.

*Telemedicine isnt a replacement for your Primary Care Provider . Your PCP should always be your first choice for care .

See better with Healthfirst Vision Benefits

Think You Might Qualify For A Plan Find Out How

Were here to help you find the right plan for you and your family.

If you live in Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam*, Rensselaer, Saratoga, Schenectady, Sullivan, Rockland, Ulster, Warren, Washington or Westchester counties:

  • Call MVP Health Care 1-800-825-5687
  • Monday Friday from 8 am to 6 pm Eastern Time

If you live in a county that is not listed above, please contact the New York State Department of Health to learn more about the Medicaid options in your area.

*Essential Plan not available in Putnam county.

Recommended Reading: Centers For Medicare And Medicaid Services Login

For Prescription Drug Questions:

  • Hours: Monday – Thursday, 8 a.m. to 7 p.m., Friday 9 a.m. to 7 p.m. and Saturday, 9 a.m. to 1 p.m. EST
  • Dont have your Member Card handy?
  • Medicare Members: Call Hours: Monday – Friday 8 a.m. to 8 p.m.From Oct. 1 to Mar. 31, representatives are available seven days a week 8 a.m. to 8 p.m. EST
  • Other Members: Call Hours: Monday – Thursday 8 a.m. to 7 p.m., Fridays 9 a.m. to 6 p.m.

See Better With Healthfirst Vision Benefits

New York Medicaid Customer Service Phone Number

Taking care of your eyes doesnt just mean having clear vision. An annual eye exam can help detect a number of health risks, such as diabetes, thyroid disease, high blood pressure, and other conditions. Healthfirst has made it easy for our members to take advantage of this often overlooked preventive service by providing access to comprehensive vision care.

Dental Care That Keeps You Smiling

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How Long Does Chp+ Coverage Last

  • For children, CHP+ coverage begins the date the application is received at the CHP+ office, an Application Assistance Site, or a county office. Coverage lasts at least 12 months.
  • For pregnant women, CHP+ Prenatal Care Program coverage begins the date the application is received at the CHP+ office, an Application Assistance Site, or a county office. Coverage will last for at least 60 days after your pregnancy ends.

Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Read Also: How To Obtain Medicaid In Florida

Empire Bluecross Blueshield Healthplus

Child Health Plus. For children under Empire HealthPlus mobile app. Make healthy happen wherever you go. Find a doctor and get directions. Get the app

Service Status

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The Information We Collect And How We Collect It

How to Enroll in Medicaid

Personally Identifiable Information. The website collects two kinds of information that relates to you. The first, and most important to you, is information that is personally identifiable to you. This is information like your name, telephone number, email address, home address and social security number. We do not collect personally identifiable information unless you decide to provide us with it. To be clear, you are never required to provide us with Personal Information but not all of the services we offer will be available to you without that information. For example, we will ask for your contact information if you have requested us to send you information about certain plans or services.

Personal Information also includes information on your health. However, we do NOT ask for and do NOT collect Medical Records from you. Those records remain between you and your doctor.

If at any time you would like to review or update the Personal Information we have collected about you, please contact us and we will arrange for you to do so. While you work with us, you remain in control of all of your personal information at all times.

Recommended Reading: What Is The Household Income Limit For Medicaid

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Medical Standards Of Care And Clinical Practice Guidelines

If you want to research the clinical practice guidelines for a disease, condition, treatment or intervention or for health services administration, you can browse them online here. Your prescription in determining the standards of care and clinical guidelines applicable to your cases. Medical standards of care and clinical practice guidelines are established by a consensus of health care professionals as diagnostic and therapeutic actions or behaviors that are considered the most favorable in affecting the patients health outcome. The Internet offers a wide variety of expert consensus and evidence-based standards and guidelines, which provide insight, on a national level, to a broad scope of medical practice. Additionally, standards of care are established through, state and federal regulations, institutional policy & procedures, expert witnesses and literature. These links will lead directly to the pertinent sections on standards, guidelines, or position statements.

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Institution For Mental Disease In Lieu Of Service Benefit

Institution for Mental Disease In Lieu of Service Benefit information

  • PDF 39.88KB – Last Updated: 11/12/2020


New York State Department of Health has stated Medicaid recipients should receive breast cancer surgery services at high volume facilities .

See the listing of low-volume facilities that will not be reimbursed for breast cancer surgeries provided to Medicaid recipients.

This policy does not affect a facility’s ability to provide diagnostic or excisional biopsies, and postsurgical care for Medicaid patients.

Clinical Practice Guidelines

UnitedHealthcare Community Plan has practice guidelines that help providers make healthcare decisions. These guidelines come from nationally recognized sources. UnitedHealthcare Community Plan has practice guidelines for preventive health and other health conditions.

View the entire list of guidelines or call our Member Services at 1-800-493-4647 to request a printed copy.

  • PDF 2.36MB – Last Updated: 10/13/2021


  • PDF 1.97MB – Last Updated: 07/06/2021


  • PDF 6.45MB – Last Updated: 03/18/2021


  • PDF 7.17MB – Last Updated: 01/05/2021

How We Use The Information We Collect

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Because we respect your privacy and value our relationship with you, we only use your Personal Information to offer you information about and the opportunity to purchase health care coverage that is right for you or your family. We also use third party partners and affiliates to help us to provide these services so we may share your information with these third parties and affiliates for such purposes. These third parties and affiliates are not authorized by us to use your Personal Information in any other way.

For example, we provide your Personal Information to our parent company, HealthPlanOne, LLC, so that they can help you to find and apply for Medicare and health insurance. We have also contracted with other third parties to provide the same services so as to ensure that your questions are answered and so that more than one opinion may be made available to you.

Since Aggregate Information does not include Personal Information, we reserve the right to use and share this information with others. However, we primarily use this information to customize your experience on our Site, to help us improve the quality of the Site, and to make your use of the Site easier and more valuable to you.

We do not sell, license, transmit or disclose Personal Information that you provide to us except with the following exceptions:


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What If I Need Immediate Care

You may qualify for a program called Presumptive Eligibility . PE is a way for children and pregnant women to receive care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify. Find a PE Site in your area.

Legal Terms & Conditions is a service mark of HealthPlanOne, LLC. All trademarks, service marks, trade names and logos displayed on this site are proprietary or licensed to HealthPlanOne, LLC, except for those of the insurance carriers, agent, brokers, industry organizations, associations, health care institutions, and other service companies, which are service marks or trademarks of their respective entities. The name, trademarks, service marks and logos of HealthPlanOne LLC and any of the insurance companies represented by HealthPlanOne LLC may not be used in any advertising or publicity, or otherwise for any commercial use by other insurance agent or brokers. Any such use is prohibited by federal trademark and copyright law. This site is a copyrighted publication of HealthPlanOne, LLC. No portion of this site or any news or information displayed on this site may be published, broadcast, duplicated, photocopied, faxed, downloaded, uploaded, distributed, transmitted or redistributed in any way for any purpose without HealthPlanOne, LLCâs prior express written permission. The content presented on this site is that of HealthPlanOne, LLC and not necessarily that of the participating insurance carriers. However, certain content is presented by insurance carriers, agents, brokers, industry organizations, service providers and educational institutions, and that content is solely that of the respective entity providing the content.

Also Check: Does Medicaid Cover Gastric Bypass In Michigan

What Does It Cost

CHP+ costs vary depending on your household size and income. CHP+ members may have to pay an annual enrollment fee. This fee is due within 30 days of your CHP+ approval. If the enrollment fee is not paid within the 30 days allowed then the family will be denied and will need to re-apply. Some CHP+ clients may also have to pay co-pays to their health care provider at the time of service. Prenatal women, American Indians and Alaskan Natives do not have to pay annual enrollment fees or co-pays.

Chp+ Managed Care Organizations

Top 5 Ways to Make the Provider Enrollment Application Easy

CHP+ members are enrolled into a Managed Care Organization . An MCO is a group of doctors, clinics, hospitals, pharmacies, and other providers who work together to help meet your health care needs. Each CHP+ MCO uses its own group of hospitals, pharmacies and doctors for the counties it serves.

There are five CHP+ MCOs in Colorado: Colorado Access, Kaiser Permanente, Rocky Mountain Health Plans, Friday Health Plans, and Denver Health. The county you live in will determine which MCO you or your child enrolls with. If more than one MCO is available in your county, a health plan will be selected for you, but you can change MCOs for up to 90 days after you qualify for CHP+.

If you have any questions, please contact your MCO or visit their website:

Recommended Reading: Does Maryland Medicaid Cover Abortions

Dental Care That Keeps You Smiling

Healthfirst believes that providing you with good dental care is important to your overall healthcare. Covered services include regular and routine dental services such as preventive dental checkups, cleanings, X-rays, fillings, and other services to check for any changes or abnormalities that may require treatment and/or follow-up care for you. You do not need a referral from your PCP to see a dentist.

How Do I Get Dental Benefits

DentaQuest provides dental benefits to all eligible and enrolled CHP+ child members and to pregnant women. These benefits include preventive and diagnostic services, restorative services, endodontic, periodontic, prosthodontic, oral surgery, and limited orthodontic services. There will be a maximum allowable of $1000.00 per member per calendar year . As with all CHP+ benefits, higher income families may be required to pay a small fee or co-payment when they receive services. CHP+ Prenatal women will not be charged co-payments for dental services. If you have any questions about CHP+ dental benefits call DentaQuest at 1-888-307-6561, TTY 711.

Please visit the DentaQuest Member Access page. After registration, you will be able to search for a dentist, check your benefits, and download your member ID card.

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I Purchase My Insurance On My Own

HMO PlansMonday through Friday from 8 a.m. to 7 p.m.

PPO PlansMonday through Friday from 8 a.m. to 7 p.m.

Customer Service Accounts ReceivableMonday through Friday from 8 a.m to 7 p.m.

Mailing address:

  • HAP Senior Plus® :
  • HAP Senior Plus® :
  • HAP Primary Choice Medicare :
  • HAP Empowered Duals :
  • Alliance Medicare Supplement:

Our team members can take your call during the following times:

  • 8 a.m. to 8 p.m., Seven Days a Week
  • 8 a.m. to 8 p.m., Monday through Friday

Mailing address:

2850 W. Grand BlvdDetroit, MI 48202

At all other times, you can access our Interactive Voice Recording system at the same number and leave your name and phone number. Well return your call the next business day. Please dont share personal health information when you leave your message.

For questions about purchasing a Medicare plan, contact a HAP Medicare sales representative at . Reps are available Monday through Friday, 8 a.m. to 6 p.m.

654-2200 Seven days a week, 24 hours per day

Our customer service representatives are located at:

How Do I Renew Chp+ Coverage

SHL Provider Directories
  • Children enrolled in CHP+ must reapply every year. CHP+ will send you a packet about 3 months before your child’s coverage ends. Complete this and return it to CHP+ as soon as possible. If you do not receive a renewal packet, call CHP+ Customer Service at 359-1991 to ask for one.
  • Clients who have an active PEAK account will also have the ability to pay enrollment fees and update their information at any time.
  • Pregnant women enrolled in the CHP+ Prenatal Care Program cannot renew coverage after their pregnancy ends. If you do become pregnant again, however, you can apply again.

Recommended Reading: Medicaid Provider Id Number Lookup

Mental Health/substance Use Disorder

Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services .

UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at

Covered services include:

  • All inpatient mental health and substance use disorder services .
  • Most outpatient mental health services .
  • Medicaid recipients who receive SSI or who are certified blind or disabled get mental health and substance use disorder services from any Medicaid provider by using their Medicaid Benefit Card.
  • Detoxification services are covered by UnitedHealthcare Community Plan as a benefit.

Unitedhealthcare Connected For Mycare Ohio

UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .

Also Check: Can Medicaid Take Your Pension

Which Doctors Can I Visit

CHP+ works with Managed Care Organizations to provide health care to you or your child. Each MCO has their own network of doctors that you or your child can see on CHP+. The county you live in will determine which MCO you or your child enrolls with.

Your CHP+ MCO can help you find a doctor for you or your child.

Unitedhealthcare Dual Complete Plans

Question: Are You Eligible for Medicaid and Medicare?

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Read Also: Primary Care Doctors Who Take Medicaid


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