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

  • Attachment is also available in Portable Document Format (PDF)

Attachment 1

(Rrevised 04/25/2022*)

MAP Plans' Disenrollment If Enrollee Has Been Absent 30 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
  • WellCare Fidelis Dual Plus *

* WellCare Fidelis Dual Plus has now also signed the model contract with the updated involuntary disenrollment reason for members absent 30 days from the plan's service area.