The following updates have been made to your CDPHP Medicaid plan:
Electronic Notice Option
CDPHP and our vendors can send you notices about service authorizations, plan appeals, complaints and complaint appeals electronically, instead of by phone or mail.
We can send you these notices to you through our secure online member account portal.
If you want to get these notices electronically, you must ask us. To ask for electronic notices contact us by phone, online, fax, or mail:
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Phone - 1-800-388-2994.TTY/TDD users call 711
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Online - https://www.cdphp.com/members
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Fax - (518) 641-3507
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Mail - 500 Patroon Creek Blvd. Albany, NY 12206
When you contact us, you must:
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Tell us how you want to get notices that are normally sent by mail,
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Tell us how you want to get notices that are normally made by phone call, and
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Give us your contact information (mobile phone number, email address, fax number, etc.).
CDPHP will let you know by mail that you have asked to get notices electronically.
Dental Services
Starting January 31, 2024, Capital District Physicians’ Health Plan will be covering crowns and root canals in certain circumstances so that you can keep more of your natural teeth.
In addition, replacement dentures and implants will only need a recommendation from your dentist to determine if they are necessary. This will make it easier for you to access these dental services.
To learn more about these services, call Member Services at 1-800-388-2994. TDD/TTY: 711.
Mobile Crisis Telephonic Triage Response Service
Starting March 1, 2024, Capital District Physicians' Health Plan, Inc. (CDPHP®) will cover the Mobile Crisis Telephonic Triage and Response service for members under the age of 21. This service is already available to members 21 years of age and older.
Currently, members under the age of 21 can access the Mobile Crisis Telephonic Triage and Response service by using their Medicaid card. Effective March 1, 2024, you can use your CDPHP plan card to receive this service.
Mobile Crisis teams can help you, your child, or other members of your family with mental health and addiction crisis symptoms. These symptoms can be things like:
You and your family can call and talk to a professional about a crisis, get support, and be linked to other services when needed.
If you are experiencing a crisis, you can call or text 988 or chat at www.988lifeline.org/ 24 hours a day, 7 days a week.
To learn more about these services, call Member Services at 1-888-320-9584. TDD/TTY: 711.
Home-Delivered Medically Tailored Meals (MTM)
As a CDPHP member, you have access to benefits and services that help you live your healthiest life. Starting October 1, 2023, you can join a no-cost Medically Tailored Meals program that provides healthy meals straight to your home.
Through this program, you and other members who qualify can get:
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Help from a registered dietitian and nutritionist. This person is a food and nutrition expert and will help give guidance and support in choosing healthy foods.
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Up to two meals per day delivered to your home for six months at a time. You may be able to continue receiving meals as long as you are eligible for this program. These meals are tailored for your specific health needs and can help you gain access to healthy, nutritious foods.
This program is offered to Capital District Physicians’ Health Plan, Inc. (CDPHP®) Medicaid members ages 18 years or older. Members must have a secure place to store and heat meals, and:
OR
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Have cancer, diabetes, heart failure, or HIV/AIDS, and a certain number of inpatient hospital stays and/or emergency room (ER) visits within the last 12 months related to these conditions.
Joining this program is up to you. If you decide not to join, it will not affect your Medicaid eligibility or benefits.
To learn more about these services, call Member Services at 1-800-388-2994.
Undocumented Non-Citizens Age 65 and Over
Undocumented non-citizens who are age 65 and over can join Capital District Physicians' Health Plan, Inc. (CDPHP®) Medicaid Managed Care plan. Previously these individuals were only able to receive emergency medical services by using their Medicaid card. Now, these individuals will have access to comprehensive healthcare services provided by CDPHP®, which are listed fully in Part II of this handbook.
Services provided by CDPHP® include, but are not limited to:
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routine preventative care such as vaccines and checkups,
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mental health services,
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dental benefits,
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visions care,
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family planning services,
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emergency health care, and
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nursing home services.
Eligible members can also access pharmacy benefits provided by NYRx, the Medicaid pharmacy program, by using their Medicaid card.
Note: non-emergency transportation is not covered for these individuals.
To learn more about the services available, please call Member Services at 1-800-388-2994.
Eligibility
This program is offered to Capital District Physicians' Health Plan, Inc. (CDPHP®) Medicaid members ages 18 years or older. Members must have a secure place to store and heat meals, and:
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Receive personal care services. Member must choose to replace some of their meal preparation and food shopping hours while getting a medically tailored meal. The hours reduced will depend on the number of meals you receive.
OR
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Have cancer, diabetes, heart failure, or HIV/AIDS, and a certain number of inpatient hospital stays and/or emergency room (ER) visits within the last 12 months related to these conditions.
A CDPHP Care Team representative will call you to see if you want to enroll in the program. On the call, you’ll learn more about the program and get help enrolling, if you’re interested. You may also receive a recommendation for Medically Tailored Meals from your doctor.
We have updated your member handbook to add these benefits. This update is available on our website at: https://www.cdphp.com/members/health-plan/government-plans/medicaid-harp/updates
If you have questions, we’re here to help.
For more details, please review the CDPHP Medicaid or HARP handbooks.