Elimination of the Personal Interview Requirement for Medicaid and Family Health Plus Applicants

Attachment IV

New York State – Child Health Plus Health Plans by County

Albany

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

Allegany

BCBS of Western NY (Community Blue): 1-800-888-5407

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

Univera Community Health: 1-800-494-2215

205 Park Club Lane, Buffalo, NY 14221

Bronx

Affinity Health Plan: 1-866-247-5678

2500 Halsey Street, Bronx, NY 10461

AmeriChoice by United Healthcare: 1-800-493-4647

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

AMERIGROUP Community Care: 1-800-600-4441

21 Penn Plaza, Fifth Floor, 360 West 31st Street, New York, NY 10001

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 95-25 Queens Boulevard, Rego Park, NY 11374

Health Plus PHSP: 1-888-809-8009

241 37th St., Suite 412, Brooklyn, NY 11232

Healthfirst: 1-866-463-6743

Member Services, PO Box 5165, New York, NY 10274

Health Insurance Plan of Greater NY: 1-800-542-2412

CHPlus Enrollment/GAP Dept., 55 Water Street, 5th Floor, New York, NY 10041

MetroPlus Health Plan: 1-800-475-6387

Attn: Eligibility Dept., 160 Water Street, 3rd Floor, New York, NY 10038

Neighborhood Health Providers: 1-800-826-6240

601 Veterans Memorial Highway, PO Box 6013, Hauppaugue, NY 11788

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

Broome

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Cattaraugus

BCBS of Western NY (Community Blue): 1-800-888-5407

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Univera Community Health: 1-800-494-2215

205 Park Club Lane, Buffalo, NY 14221

Cayuga

AmeriChoice by United Healthcare: 1-800-493-4647

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Chautauqua

BCBS of Western NY (Community Blue): 1-800-888-5407

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Univera Community Health: 1-800-494-2215

205 Park Club Lane, Buffalo, NY 14221

Chemung

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Chenango

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Clinton

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Columbia

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Attachment IV

New York State – Child Health Plus Health Plans by County

Cortland

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

SCHC Total Care, Inc.: 1-877-872-4715

819 South Salina St., PO Box 11507, Syracuse, NY 13218

Delaware

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Dutchess

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Hudson Health Plan: 1-800-339-4557

303 S. Broadway St, Suite 321, Tarrytown, NY 10591

MVP Health Care: 1-800-666-1762

Government Programs Marketing Dept., 1 Summit Court, 2nd Floor, Fishkill, NY 12524

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

Erie

BCBS of Western NY (Community Blue): 1-800-888-5407

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Independent Health: 1-800-453-1910

Independent Health, PO Box 740, Buffalo, NY 14231

Univera Community Health: 1-800-494-2215

205 Park Club Lane, Buffalo, NY 14221

Essex

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Attachment IV

New York State – Child Health Plus Health Plans by County

Franklin

0-716-4885

Box 22999, Rochester, NY 14647

Excellus BCBS Utica/Watertown: 1-80

Excellus BCBS, 165 Court Street, P.O.

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Fulton

Capital District Physicians’ Health Plan: 1-800-454-3840

, 500 Patroon Creek Blvd., Albany, NY 12 Government Programs Child Health Plus 206

00, Amherst, NY 14228

Empire BlueCross: 1-800-431-1914

ion, P.O. Box 1407, New York, NY 10008 Child Health Plus, Church St. Stat

Excellus BCBS Utica/Watertown: 1-800-716-4885

eet, P.O. Box 22999, Rochester, NY 14647 Excellus BCBS, 165 Court Str

Fidelis Care New York: 1-888-343-3547

rk, 40 John Glenn, Suite 2 Fidelis Care New Yo

Genesee

07 BCBS of Western NY (Community Blue): 1-800-888-54

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Greene

Capital District Physicians’ Health Plan: 1-800-454-3840

ealth Plus, 500 Patroon Creek Blvd., Albany, NY 12 Government Programs Child H 206

NY 10008

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York,

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Hamilton

Excellus BCBS Utica/Watertown: 1-800-716-4885

llus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647 Exce

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Herkimer

AmeriChoice by United Healthcare: 1-800-493-4647

ention Enrollment Dept., 7 Hanover Square, 5th Floor, New Yo Att rk, NY 10004

12206

Capital District Physicians’ Health Plan: 1-800-454-38

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

nJefferso

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Kings

Affinity Health Plan: 1-866-247-5678

2500 Halsey Street, Bronx, NY 10461

1-800-493-4647 AmeriChoice by United Healthcare:

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

Queens Boulevard, Rego Park, NY 11374

3, Hauppaugue, NY 11788

AMERIGROUP Community Care: 1-800-600-4441

21 Penn Plaza, Fifth Floor, 360 West 31st Street, New York, NY 10001

-1914 Empire BlueCross BlueShield: 1-800-431

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 100

are New York: 1-888-343-3547 Fidelis C

Fidelis Care New York, 95-25

Health Plus PHSP: 1-888-809-8009

241 37th St., Suite 412, Brooklyn, NY 11232

Healthfirst: 1-866-463-6743

ork, NY 10274 Member Services, PO Box 5165, New Y

Health Insurance Plan of Greater NY: 1-800-542-2412

Water Street, 5th Floor, New York, NY 10041 CHPlus Enrollment/GAP Dept., 55

MetroPlus Health Plan: 1-800-475-6387

er Street, 3rd Floor, New York, NY 10038 Attn: Eligibility Dept., 160 Wat

Neighborhood Health Providers: 1-800-826-6240

ial Highway, PO Box 601 601 Veterans Memor

Wellcare of NY, Inc.: 1-800-288-5441

0011 11 West 19th Street, 2nd Floor, New York, NY 1

ewisL

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

00, Amherst, NY 14228

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 2

Livingston

Excellus BCBS Rochester: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Madison

AmeriChoice by United Healthcare: 1-800-493-4647

Hanover Square, 5th Floor, New York, NY 10004 Attention Enrollment Dept., 7

Capital District Physicians’ Health Plan: 1-800-454-38

s Child Health Plus, 500

Patroon Creek Blvd., Albany, NY 12206

ester, NY 14647

Government Program

Excellus BCBS Utica/Watertown: 1-800-716-4885

99, Roch Excellus BCBS, 165 Court Street, P.O. Box 229

Monroe

85 Excellus BCBS Rochester: 1-800-716-48

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Attachment IV

New York State – Child Health Plus Health Plans by County

Montgomery

4-3840 Capital District Physicians’ Health Plan: 1-800-45

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

ew York, NY 10008

Rochester, NY 14647

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, N

BCBS Utica/Watertown: 1-800-716-4885 Excellus

Excellus BCBS, 165 Court Street, P.O. Box 22999,

Fidelis Care New York: 1-888-343-3547

lenn, Suite 200, Amherst, NY 14228 Fidelis Care New York, 40 John G

Nassau

ealth Plan: 1-866-247-5678 Affinity H

2500 Halsey Street, Bronx, NY 10461

AmeriChoice by United Healthcare: 1-800-493-4647

Floor, New York, NY 10004 Attention Enrollment Dept., 7 Hanover Square, 5th

Empire BlueCross BlueShield: 1-800-431-1914

Box 1407, New York, NY 10008 Child Health Plus, Church St. Station, P.O.

Fidelis Care New York: 1-888-343-3547

lenn, Suite 200, Amherst, NY 14228 Fidelis Care New York, 40 John G

Health Plus PHSP: 1-888-809-8009

37th St., Suite 412, Brooklyn, NY 11232 241

Healthfirst: 1-866-463-6743

Member Services, PO Box 5165, New York, NY 10274

12 Health Insurance Plan of Greater NY: 1-800-542-24

CHPlus Enrollment/GAP Dept., 55 Water Street, 5th Floor, New York, NY 10041

New York

Affinity Health Plan: 1-866-247-5678

461 2500 Halsey Street, Bronx, NY 10

AmeriChoice by United Healthcare: 1-800-493-4647

ttention Enrollment Dept., 7 Hanover Square, 5th Floor, Ne A w York, NY 10004

-4441

tation, P.O. Box 1407, New York, NY 10008

Rego Park, NY 11374

York, NY 10041

York, NY 10038

AMERIGROUP Community Care: 1-800-600

21 Penn Plaza, Fifth Floor, 360 West 31st Street, New York, NY 10001

lueCross BlueShield: 1-800-431-1914 Empire B

Child Health Plus, Church St. S

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 95-25 Queens Boulevard,

Health Plus PHSP: 1-888-809-8009

232 241 37th St., Suite 412, Brooklyn, NY 11

Healthfirst: 1-866-463-6743

New York, NY 10274 Member Services, PO Box 5165,

Health Insurance Plan of Greater NY: 1-800-542-2412

55 Water Street, 5th Floor, New CHPlus Enrollment/GAP Dept.,

MetroPlus Health Plan: 1-800-475-6387

r Street, 3rd Floor, New Attn: Eligibility Dept., 160 Wate

New Yor

(List Continued – See New York on Previous Page)

Neighborhood Health Providers: 1-800-826-6240

601 Veterans Memorial Highway, PO Box 6013, Hauppaugue, NY 11788

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

Niagara

BCBS of Western NY (Community Blue): 1-800-888-5407

ealth Now Government Programs, PO Box 5204, Binghamton, NY 13902 H

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Oneida

AmeriChoice by United Healthcare: 1-800-493-4647

over Square, 5th Floor, New York, NY 10004 Attention Enrollment Dept., 7 Han

Capital District Physicians’ Health Plan: 1-800-454-3840

th Plus, 500 Patroon Creek Blvd., Albany, NY 12 Government Programs Child Heal 206

Excellus BCBS Utica/Watertown: 1-800-716-4885

xcellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647 E

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Onondaga

AmeriChoice by United Healthcare: 1-800-493-4647

over Square, 5th Floor, New York, NY 10004 Attention Enrollment Dept., 7 Han

Excellus BCBS Central New York: 1-800-716-4885

xcellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647 E

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

SCHC Total Care, Inc.: 1-877-872-4715

819 South Salina St., PO Box 11507, Syracuse, NY 13218

Ontario

Excellus BCBS Rochester: 1-800-716-4885

Box 22999, Rochester, NY 14647 Excellus BCBS, 165 Court Street, P.O.

Orange

Affinity Health Plan: 1-866-247-5678

2500 Halsey Street, Bronx, NY 10461

Capital District Physicians’ Health Plan: 1-800-454-3840

, 500 Patroon Creek Blvd., Albany, NY 12 Government Programs Child Health Plus 206

0591

Empire BlueCross BlueShield: 1-800-431-1914

ion, P.O. Box 1407, New York, NY 10008 Child Health Plus, Church St. Stat

Fidelis Care New York: 1-888-343-3547

hn Glenn, Suite 200, Amherst, NY 14228 Fidelis Care New York, 40 Jo

Hudson Health Plan: 1-800-339-4557

Suite 321, Tarrytown, NY 1 303 S. Broadway St,

Wellcare of NY, Inc.: 1-800-288-5441

0011 11 West 19th Street, 2nd Floor, New York, NY 1

Attachment IV

New York State – Child Health Plus Health Plans by County

Orleans

1-800-888-5407 BCBS of Western NY (Community Blue):

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

erst, NY 14228

Excellus BCBS Rochester: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

7 Fidelis Care New York: 1-888-343-354

Fidelis Care New York, 40 John Glenn, Suite 200, Amh

Oswego

AmeriChoice by United Healthcare: 1-800-493-4647

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

85 Excellus BCBS Utica/Watertown: 1-800-716-48

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

5 SCHC Total Care, Inc.: 1-877-872-471

819 South Salina St., PO Box 11507, Syracuse, NY 13218

Otsego

Capital District Physicians’ Health Plan: 1-800-454-3840

s, 500 Patroon Creek Blvd., Albany, NY 12206 Government Programs Child Health Plu

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Putnam

Empire BlueCross BlueShield: 1-800-431-1914

ion, P.O. Box 1407, New York, NY 10008 Child Health Plus, Church St. Stat

Fidelis Care New York: 1-888-343-3547

hn Glenn, Suite 200, Amherst, NY 14228 Fidelis Care New York, 40 Jo

Queens

47-5678 Affinity Health Plan: 1-866-2

2500 Halsey Street, Bronx, NY 10461

AmeriChoice by United Healthcare: 1-800-493-4647

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

1 AMERIGROUP Community Care: 1-800-600-444

21 Penn Plaza, Fifth Floor, 360 West 31st Street, New York, NY 10001

eCross BlueShield: 1-800-431-1914 Empire Blu

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

ulevard, Rego Park, NY 11374

5th Floor, New York, NY 10041

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 95-25 Queens Bo

Health Plus PHSP: 1-888-809-8009

NY 11232 241 37th St., Suite 412, Brooklyn,

Healthfirst: 1-866-463-6743

5, New York, NY 10274 Member Services, PO Box 516

Health Insurance Plan of Greater NY: 1-800-542-2412

55 Water Street, CHPlus Enrollment/GAP Dept.,

Attachment IV

New York State – Child Health Plus Health Plans by County

Queens (List Continued – See Queens on Previous Page)

MetroPlus Health Plan: 1-800-475-6387

Attn: Eligibility Dept., 160 Water Street, 3rd Floor, New York, NY 10038

Neighborhood Health Providers: 1-800-826-6240

601 Veterans Memorial Highway, PO Box 6013, Hauppaugue, NY 11788

of NY, Inc.: 1-800-288-5441 Wellcare

11 West 19th Street, 2nd Floor, New York

Rensselaer

, NY 10011

-800-454-3840 Capital District Physicians’ Health Plan: 1

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Alba

31-1914

ny, NY 12206

ew York, NY 10008

Amherst, NY 14228

Empire BlueCross BlueShield: 1-800-4

Child Health Plus, Church St. Station, P.O. Box 1407, N

Care New York: 1-888-343-3547 Fidelis

Fidelis Care New York, 40 John Glenn, Suite 200,

Wellcare of NY, Inc.: 1-800-288-5441

Y 10011 11 West 19th Street, 2nd Floor, New York, N

ichmR ond

lth Plan: 1-866-247-5678 Affinity Hea

2500 Halsey Street, Bronx, NY 10461

AmeriChoice by United Healthcare: 1-800-493-4647

over Square, 5th Floor, New York, NY 10004 Attention Enrollment Dept., 7 Han

AMERIGROUP Community Care: 1-800-600-4441

est 31st Street, New York, NY 10001 21 Penn Plaza, Fifth Floor, 360 W

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

or, New York, NY 10041

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 95-25 Queens Boulevard, Rego Park, NY 11374

Health Plus PHSP: 1-888-809-8009

241 37th St., Suite 412, Brooklyn, NY 11232

Healthfirst: 1-866-463-6743

Member Services, PO Box 5165, New York, NY 10274

1-800-542-2412 Health Insurance Plan of Greater NY:

CHPlus Enrollment/GAP Dept., 55 Water Street, 5th Flo

00-826-6240 Neighborhood Health Providers: 1-8

601 Veterans Memorial Highway, PO Box 6013, Hauppaugue, NY 11788

Rockland

Affinity Health Plan: 1-866-247-5678

500 Halsey Street, Bronx, NY 10461 2

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

547 Fidelis Care New York: 1-888-343-3

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Hudson Health Plan: 1-800-339-4557

303 S. Broadway St, Suite 321, Tarrytown, NY 10591

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

Saratoga

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

ctadySchene

Capital District Physicians’ Health Plan: 1-800-454-3840

NY 12206

tation, P.O. Box 1407, New York, NY 10008

uite 200, Amherst, NY 14228

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany,

oss: 1-800-431-1914 Empire BlueCr

Child Health Plus, Church St. S

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, S

Schoharie

-800-454-3840 Capital District Physicians’ Health Plan: 1

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

erst, NY 14228

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

7 Fidelis Care New York: 1-888-343-354

Fidelis Care New York, 40 John Glenn, Suite 200, Amh

Schuyler

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Seneca

Excellus BCBS Rochester: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

wrenceSt La

Excellus BCBS Utica/Watertown: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Steuben

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Suffolk

Affinity Health Plan: 1-866-247-5678

2500 Halsey Street, Bronx, NY 10461

AmeriChoice by United Healthcare: 1-800-493-4647

Attention Enrollment Dept., 7 Hanover Square, 5th Floor, New York, NY 10004

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Healthfirst: 1-866-463-6743

Member Services, PO Box 5165, New York, NY 10274

Attachment IV

New York State – Child Health Plus Health Plans by County

USuffolk U(List Continued – See Suffolk on Previous Page)

Health Insurance Plan of Greater NY: 1-800-542-2412

CHPlus Enrollment/GAP Dept., 55 Water Street, 5th Floor, New York, NY 10041

Neighborhood Health Providers: 1-800-826-6240

601 Veterans Memorial Highway, PO Box 6013, Hauppaugue, NY 11788

USullivan

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Hudson Health Plan: 1-800-339-4557

303 S. Broadway St, Suite 321, Tarrytown, NY 10591

UTioga

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

UTompkins

Excellus BCBS Central New York: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

SCHC Total Care, Inc.: 1-877-872-4715

819 South Salina St., PO Box 11507, Syracuse, NY 13218

UUlster

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Hudson Health Plan: 1-800-339-4557

303 S. Broadway St, Suite 321, Tarrytown, NY 10591

MVP Health Care: 1-800-666-1762

Government Programs Marketing Dept., 1 Summit Court, 2nd Floor, Fishkill, NY 12524

Wellcare of NY, Inc.: 1-800-288-5441

11 West 19th Street, 2nd Floor, New York, NY 10011

UWarren

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Washington

Capital District Physicians’ Health Plan: 1-800-454-3840

Government Programs Child Health Plus, 500 Patroon Creek Blvd., Albany, NY 12206

Empire BlueCross: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

UWayne

Excellus BCBS Rochester: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647

UWestchester

Affinity Health Plan: 1-866-247-5678

2500 Halsey Street, Bronx, NY 10461

Empire BlueCross BlueShield: 1-800-431-1914

Child Health Plus, Church St. Station, P.O. Box 1407, New York, NY 10008

Fidelis Care New York: 1-888-343-3547

Fidelis Care New York, 40 John Glenn, Suite 200, Amherst, NY 14228

Health Insurance Plan of Greater NY: 1-800-542-2412

CHPlus Enrollment/GAP Dept., 55 Water Street, 5th Floor, New York, NY 10041

Hudson Health Plan: 1-800-339-4557

303 S. Broadway St, Suite 321, Tarrytown, NY 10591

UWyoming

BCBS of Western NY (Community Blue): 1-800-888-5407

Health Now Government Programs, PO Box 5204, Binghamton, NY 13902

UYates

Excellus BCBS Rochester: 1-800-716-4885

Excellus BCBS, 165 Court Street, P.O. Box 22999, Rochester, NY 14647