Centers Plan for Medicaid Advantage Plus (HMO D-SNP)
Welcome to Centers Plan for Medicaid Advantage Plus (HMO D-SNP)!
Centers Plan for Medicaid Advantage Plus brings your Medicare benefits, Medicaid benefits, and long-term care services together under one plan. This plan was designed for people with Medicare and full Medicaid who are age 18 or older, and need, or are expected to need, at least 120 days of community-based long-term care services. Centers Plan for Medicaid Advantage Plus allows you to remain in your home and community, receiving the services you need to maintain your health and safety.
As a member, you will be assigned a Nurse Care Manager who is a licensed professional who will work with you to help you:
- Manage your medical and long-term care needs;
- Work with your primary care physician to obtain needed services:
- Identify your goals;
- Create a plan of care to achieve those goals; and
- Help coordinate all your health services.
Centers Plan recognizes that the more information we provide, the better informed you, your family and your physicians will be to make the right decisions regarding your healthcare. This member section is designed to provide you with easy to use, searchable information that others have found helpful, as they plan for years of healthy living!
This information is available for free in other languages. Please call Member Services at 1-833-274-5627, TTY users please call 711, from 8:00 AM to 8:00 PM seven days a week.
Esta información puede estar disponible en diferentes idiomas o formatos. Favor de llamar al 1-833-274-5627 (TTY 711) de 8:00 a.m. a 8:00 p.m., 7 días a la semana. Si necesita obtener información en otro formato o idioma, comuníquese con el Servicio de Atención al Cliente al número mencionado anteriormente.
MAP Frequently Asked Questions
MAP Eligibility Requirements / Plan Highlights 2023
MAP Materials 2023
MAP Important Member Forms
Important Member Forms
Member Reimbursement Form (last updated 12/15/21)
How to Appoint a Representative - Last updated 03/07/19
In the event that you need to appoint a representative regarding a grievance, request a coverage determination or an appeal, or to make complaints, the following form is also available on the Medicare and Medicaid Services (CMS) website below:
CMS Appointment of Representative Form – Last updated 09/01/2021
CMS Electronic Complaint Form – Last updated 11/19/2014
Best Available Evidence (BAE) – Last updated 11/19/2014
MAP Grievances & Appeals
Part D Prescription Drug Program
- Part D Overview
- Medication Therapy Management MTM 2023
- Benefit Highlights, Drug Pricing & Pharmacy Search
- 2023 MAP Formulary Look Up
- Medicare Prescription Drug Coverage Determination Information
- Request for Redetermination of Medicare Prescription Drug Denial form
- Prescription Drug Transition Policy
- How to Submit a Prescription Drug Reimbursement Claim Form
MAP Care Management Services
MAP Service Authorizations
MAP Service Areas
Centers Plan for Medicaid Advantage Plus (HMO D-SNP) serves the following 8 counties in New York State:
- Kings (Brooklyn)
- New York (Manhattan)
- Richmond (Staten Island)
MAP Contact Us
By phone (toll free): 1-833-274-5627
Seven days a week, 8AM-8PM
TTY/TDD users (toll free): 711
By email: firstname.lastname@example.org
Centers Plan for Health Living
75 Vanderbilt Ave
Staten Island, NY 10304
If you have an urgent concern,you can contact us 24 hours a day,7 days a week at 1-833-274-5627
Rights and Responsibilities Upon Disenrollment
For information on your and Centers Plans’ rights and responsibilities upon your disenrollment from our plan, please see Chapter 9 of the Evidence of Coverage (EOC).
Over-the-Counter (OTC) Information
2023 Beneficios OTC 2023 - Coming Soon