Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in New York?
Last verified October 17, 2026 · All New York resources
New York delivers long-term services and supports through 24 managed care plans in Managed Long Term Care (MLTC): partial capitation plans, Medicaid Advantage Plus (MAP) and PACE. New York requires most adults who are dual eligible and need more than 120 days of community-based long-term care, such as home care, to enroll in a Managed Long Term Care plan. Licensed home care services agencies contract with the MLTC partial capitation and Medicaid Advantage Plus plans that operate in their counties; the state directory (revised April 2026) lists 13 partial plans and 12 MAP plans. Medicaid-only adults generally get personal care through mainstream Medicaid managed care plans. Since 2025 the consumer directed program (CDPAP) uses a single statewide fiscal intermediary.
Which plans are there?
- Aetna Better Health (Partial)
- Anthem Blue Cross and Blue Shield HP (Partial)
- ElderServe at Home (Partial)
- Fidelis Care at Home (Partial)
- Hamaspik Choice (Partial)
- HomeFirst, a product of Elderplan, Inc. (Partial)
- MetroPlus MLTC (Partial)
- Nascentia Health (Partial)
- Senior Health Partners, A Healthfirst Company (Partial)
- Senior Whole Health of New York MLTC (Partial)
- VillageCareMAX (Partial)
- VNS Health MLTC (Partial)
- WellPoint of New York (Partial)
- Anthem HealthPlus Full Dual Advantage LTSS (MAP)
- Elderplan Plus Long-Term Care (MAP)
- ElderServe MAP (MAP)
- Hamaspik Medicare Choice (MAP)
- Healthfirst CompleteCare (MAP)
- MetroPlus Health Ultracare (MAP)
- Senior Whole Health of New York MAP (MAP)
- UnitedHealthcare of New York, Inc. (MAP)
- VillageCare MAX Medicare Total Advantage (MAP)
- VNS Health Total (MAP)
- WellCare Fidelis Dual Plus (HMO D-SNP) (MAP)
Service areas vary by plan. Most plans serve New York City and nearby counties; Fidelis Care at Home is statewide, and Nascentia Health, VNS Health MLTC and some MAP plans serve upstate counties. Ten PACE organizations also operate in specific counties.
For the programs that pay for home care, see New York Medicaid waivers.
What should you confirm with the state?
New York has been moving toward a smaller MLTC plan network through procurement; check the current state directory before contracting.
Sources
More for New York
Medicaid managed care by state: other states
Related guides
Authorizations
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