Don’t Lose Your Medicaid Benefits - Act Now
Don’t Lose Your Medicaid Benefits - Act Now

Member Handbook

Member Handbook

MEMBER HANDBOOK

Learn more about your benefits and responsibilities in our Member Handbook

Handbook for Amida Care Members in NYC


IMPORTANT UPDATES

ATTENTION: MEDICAID MANAGED CARE BENEFICIARIES CHANGES TO YOUR MEDICAID PHARMACY BENEFITS EFFECTIVE April 1, 2023



Applied Behavior Analysis (ABA) Services  – November 2022:

At Home COVID – 19 Test:

Children’s Behavioral Health Services:

Children’s Family Treatment and Support Services:

Additional services for members under 21

New services for members under 21

Children’s Home and Community Based Services (HCBS):

Crisis Residence Services for Children and Adults

Core Services 

Dental Implants:

Gambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs:

Harm Reduction Services:

Infertility Services Benefit:

Medically Tailored Home Delivered MealsUPDATED 2023
Member Notices: English/ Spanish
Member Handbook Update: English / Spanish

Medically Tailored Home Delivered MealsUPDATED 2022

Medically Tailored Home Delivered Meals

National Diabetes Prevention Program (NDPP) Services:

Pharmacy Co-Pays:

Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS): English/Spanish

Smoking Cessation Benefit

Specialty Care Benefit for Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) Effective – January 1, 2021

Voluntary Foster Care Agency (VFCA) Health Facility Services

July 2018:

April 2018:

  • Changes to the Service Authorizations, Complaints and Appeals Process:     English / Spanish

 

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