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Medicaid and Medicaid HARP

What is Medicaid? 

Medicaid is a state-sponsored health plan for people who have little to no income. CDPHP offers Medicaid coverage to members in the counties identified in the map below.

How to find out if you qualify for Medicaid
To find out if you quality for Medicaid, fill out this form and a CDPHP representative will contact you. You can also call 1-844-237-4773 Monday through Friday, 8:30 a.m. to 6 p.m.

Find out if you qualify

 
You may qualify for Medicaid if:

  • Your income is below 138 percent of the federal poverty level (approximately $16,394 for a household of one in 2016).
  • You are an adult between the ages of 19 and 64.
  • You are pregnant or have an infant.
  • You are a child between the ages of 1 and 18.
  • You are a parent or caretaker.
  • You are 19 or 20 and live with a parent.
  • You participate in the Family Planning Program.
  • You are not eligible for Medicare.

state funded map

What is Medicaid HARP?

CDPHP offers a new kind of Medicaid plan called a Health and Recovery Plan, or HARP. This plan offers the same services as our Medicaid Managed Care plan, plus additional benefits called Home and Community Based Services (HCBS) for those who are eligible. When enrolling in the CDPHP HARP plan, you can keep the providers you are currently seeing in your Medicaid Managed Care plan. For more information about HARP, view or download the Medicaid HARP brochure.

To find out if you qualify for HARP, or to enroll in our HARP plan, please call New York Medicaid Choice at 1-855-789-4277 or visit www.nymedicaidchoice.com. New York Medicaid Choice will work with your local county Department of Social Services to confirm your eligibility for this product and enroll you in HARP.

The CDPHP HARP plan is offered in the counties shown below.  


state funded map

Medicaid Member Materials

These resources will help you manage your health care.

Member Handbook: The handbook describes how your coverage works. 

Medicaid and HARP Covered Services: The benefit grid showing what is covered.

Health and Wellness Tools 

CDPHP developed the following programs and resources to help you and your family stay healthy.

  • My Health Tracker: Download this free tool and use it to track your doctor appointments, immunizations and screenings, and medications.
  • Quit Smoking: CDPHP offers several resources to help you quit smoking.
  • Free Wellness Classes: CDPHP members can choose from a variety of free fitness and wellness classes.
  • List of Covered Drugs: Find out what prescriptions are covered by CDPHP Medicaid.

Important Updates

The following updates have been made to your CDPHP Medicaid plan:

Expansion of Benefits
As of July 1, 2016, CDPHP covers more mental health and substance use disorder services, including:

  • Crisis services
  • Assertive Community Treatment (ACT)
  • Personalized Recovery Oriented Services (PROS)
  • Rehabilitation services

For most CDPHP members, nothing has changed. CDPHP continues to cover the same behavioral health services. However, members who use their Medicaid card to get behavioral health services need to use their CDPHP card.

Helpful Websites

For more information about the Medicaid program, visit:

For mental health and substance use disorder assistance, visit:

To enroll in Medicaid coverage or renew your existing Medicaid coverage, visit:

For more information on AIDS/HIV resources and programs, visit:

Additional:

Important Phone Numbers

CDPHP Member Services - (518) 641-3800 or 1-800-388-2994

CDPHP Behavioral Health Access Center – 1-888-320-9584
Monday – Friday, 8 a.m. to 6 p.m.
For after-hours help, call CONTACT Lifeline at 1-855-293-0785 (available 6 p.m. to 8 a.m. and on weekends and holidays)

New York State Department of Health (Complaints) - 1-800-206-8125

New York Medicaid Choice - 1-800-505-5678

NYS HIV/AIDS Hotline - 1-800-541-AIDS (2437)
Spanish - 1-800-233-SIDA (7432)
TDD - 1-800-369-AIDS (2437)

HIV Uninsured Care Programs - 1-800-542-AIDS (2437)
TDD - Relay, then (518) 459-0121

Partner Assistance Program - 1-800-541-AIDS (2437)

Social Security Administration - 1-800-772-1213

NYS Domestic Violence Hotline - 1-800-942-6906
Spanish - 1-800-942-6908
Hearing Impaired - 1-800-810-7444

Americans with Disabilities Act (ADA) Information Line - 1-800-514-0301
TDD - 1-800-514-0383

Contact CDPHP

If you have questions or need assistance, we’re here to help you.

Questions about CDPHP Medicaid?
If you have questions about whether you are qualified for CDPHP Medicaid, how to renew your coverage, or general questions about CDPHP Medicaid, you can email us at StatePrograms@cdphp.com or call 1-844-CDPHP-Select (1-844-237-4773).  

Find Out if You Qualify for CDPHP Medicaid or Medicaid HARP
To find out if you qualify for Medicaid coverage, fill out this form and a CDPHP representative will contact you. You can also call 1-844-237-4773 Monday through Friday, 8:30 a.m. to 6 p.m.

To find out if you qualify for Medicaid HARP, contact NY Medicaid Choice at 1-855-789-4277 (TTY users: 1-888-329-1541).

Speak to a Mental Health Professional
If you need to talk to someone about mental health or substance use disorder concerns, call our Behavioral Health Access Center at 1-888-320-9584 Monday through Friday, 8 a.m. to 6 p.m.

Need Help After-Hours?
If you have an emergency and need to speak to a mental health professional after-hours, call CONTACT Lifeline at 1-855-293-0785. You will be immediately transferred to a live, licensed counselor for emotional and crisis support. CONTACT Lifeline is available Monday through Friday, 6 p.m. to 8 a.m., and on weekends and holidays.

Need Help to Renew or See If You Qualify?

select plan CDPHP can help you renew your Medicaid coverage or help you find out if you qualify.

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