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Utilization Management

Amida Care’s Utilization Management Departments:
1-800-447-8681 ~ Medical Services
1-866-752-5443 ~ Behavioral Health

Representatives at these two numbers can also assist with urgent requests for service authorizations.

Click here for the Provider Benefit Guide and UM Rules to determine which services require pre-authorization.

Click here for the Referral Pre-Authorization Form.

Amida Care is an NYS sponsored HIV Special Needs Plan (SNP) that provides health care services for people on Medicaid living with HIV and their children. Amida Care services Manhattan, Brooklyn, the Bronx and Staten Island. Starting September 1, 2010, if you live in New York City, choosing a Special Needs Plan or a regular Medicaid managed care plan is mandatory for PLWHA. To learn more about HIV SNPs, call NY Medicaid CHOICE helpline at 1-800-505-5678. (TTY 1-888-329-1541)

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