Attachment I - 30 vs 90 day absence from MAP service area - revised

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Attachment 1

(revised 12/20/2021*)

MAP Plans´ Disenrollment If Enrollee Has Been Absent 30 (or 90) days

The following Medicaid Advantage Plus Plans may initiate disenrollment when the enrollee has been absent from the plan´s service area for more than 30 consecutive days:

  • AgeWell New York MAP LLC
  • Centers Plan for MAP
  • Elderplan, Inc
  • Empire MediBlue HealthPlus Duals Plus
  • Hamaspik Medicare Choice
  • Healthfirst CompleteCare
  • Integra Synergy MAP
  • MetroPlus Health Ultracare
  • RiverSpring MAP
  • Senior Whole Health of New York MAP
  • VillageCare Max MAP
  • VNSNY CHOICE Total

The following Medicaid Advantage Plus Plans may initiate disenrollment when the enrollee has been absent from the plan´s service area for more than 90 consecutive days:

  • Wellcare Fidelis Dual Plus

* aligned as of December 2021 to the MAP model contract signed by each MAP plan and is subject to change.