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

Doctor on Demand (Effective April 2020)

Talk to a doctor through live video. Doctor on Demand is no cost for CDPHP Medicaid members and gives you a quick and easy way to see a doctor 24/7. Sign up to see a medical or mental health provider.

Pharmacy Copayment (Effective April 2020)

Due to a change in federal rules, the most you will pay at the pharmacy will be $50 every three months. Right now, the maximum payment is $200 per calendar year. The quarters of the year are:

  • First quarter: January 1 – March 31

  • Second quarter: April 1 – June 30

  • Third quarter: July 1 – September 30

  • Fourth quarter: October 1 – December 31

For more details, please review the CDPHP Medicaid or HARP handbooks.

Diabetes Services

CDPHP covers diabetes prevention services through the National Diabetes Prevention Program (NDPP). This includes 22 NDPP group sessions during a full year. To receive these services, you must be recommended by a doctor or other licensed practitioner, and must be:

  • At least 18 years old,

  • Not currently pregnant,

  • Overweight, and

  • Have not been previously diagnosed with Type 1 or Type 2 Diabetes.

And, you meet one of the following criteria:

  • You have had a blood test result in the prediabetes range within the past year, or

  • You have been previously diagnosed with gestational diabetes, or

  • You score 5 or higher on the CDC/American Diabetes Association (ADA) Prediabetes Risk Test.

Talk to your doctor to see if you qualify to take part in the NDPP.

Children’s Behavioral Health Services

CDPHP covers cover additional services that help children under age 21 with behavioral health needs. These Children and Family Treatment and Support Services (CFTSS) help children and their families improve their health, well-being, and quality of life.

These services include:

  • Youth peer support and training, which can help children:

    • Develop skills to manage health challenges and be independent

    • Feel empowered to make decisions

    • Make connections to natural supports and resources

    • Transition to the adult health system when the time is right

  • Crisis intervention, which provides:

    • Professional help at home or in the community when a child is distressed and can’t be helped by friends, family, or other supports

    • Support and help with using crisis plans to de-escalate a crisis, or reduce or prevent future crises

Children Home and Community Based Services

These services are available for children identified by a Health Home as requiring support and extra care at home and in the community, and who are at risk of going to the hospital or a long term care facility. To access these services, children/youth and their families can speak with a Health Home care manager by calling (518) 473-5569 or emailing hhsc@health.ny.gov.

» Find locations where you can access these services.

To find out if you qualify for Medicaid, fill out this form and a CDPHP representative will contact you.