Medicaid Advantage Plus | NY Medicaid

One card. One number. One plan.

Medicaid Advantage Plus (MAP) provides services and support to dual-eligible Anthem Blue Cross and Blue Shield HP members who need long-term care services in New York.

MAP includes your Medicaid home care and long-term care services plus your Medicare benefits—all in one plan. It helps make all of your benefits work better for you by coordinating your care and services, so you’ll have:

One card for both your Anthem Medicaid and Medicare services.

One number to call Member Services for help: 1-833-713-1080 (TTY 711).

One plan making it easier to get the services you need, when you need them.

Who’s eligible for MAP in NY?

The MAP program is a Managed Long-Term Care plan for people who have both Medicaid and Medicare. This plan helps people who need long-term care services like home care and personal care to stay in their homes and communities as long as possible.

You may be eligible for MAP through Anthem if you:

Are 18 or older.

Are eligible for both Medicaid and Medicare.

Live in the Bronx, Brooklyn (Kings), Manhattan (New York), Queens, Staten Island (Richmond), Dutchess, Nassau, Orange, Rockland, Suffolk, Ulster, or Westchester County.

Have a chronic illness or disability (based on an assessment) that makes you clinically eligible for enrollment.

Are eligible for nursing home level of care at the time of enrollment.

Live in a qualified nursing home.

Have a chronic illness or disability that makes you eligible for services often provided in a nursing home.

Are able to stay safely at home at the time you join the plan.

Are expected to need one or more of the following services for at least 120 consecutive days from the date you join our plan:

Nursing services in the home
Therapies in the home
Home health aide services
Personal care services in the home
Adult day health care
Consumer Directed Personal Assistance Service (CDPAS)
Private duty nursing

Interested in becoming a MAP member?

Call 855-593-0908 (TTY 711) to find out more about MAP and how to enroll with Anthem.

You must enroll with Anthem Medicare to join MAP

MAP combines all your Medicaid and Medicare benefits into one plan. To join, you’ll need to:

Be an eligible Anthem Medicaid member

Enroll in an Anthem Medicare plan

You’ll keep all your current Medicaid benefits when you join Anthem MAP. You’ll also have access to all your Medicare benefits, which will make receiving healthcare much easier. This program is provided to dual-eligible Anthem members in New York.

Learn more about the Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) Plan, including:

Summary of Benefits

Evidence of Coverage

Enrollment instructions

Drug coverage and formulary

Review plan documents

What you get with Anthem

Dental care

Vision care

Non-emergency transportation

Care management

Benefits of Anthem MAP services include:

Adult day health care
Care management
Dentistry
Durable medical equipment not covered by Medicare
Enteral and parenteral supplements
Family planning
Hearing aids/hearing aid batteries
Home health care not covered by Medicare
Inpatient mental health care over the 190-day lifetime Medicare limit
Home-delivered or congregate meals
Medical social services
Medical/surgical supplies
Nonemergency transportation
Nursing home care not covered by Medicare (Medicaid eligibility rules apply)
Nutritional counseling
Personal care
Personal emergency response system
Private duty nursing
Social day care
Social supports and changes to the home
Vision care

Be sure to review the Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) Plan Documents for a complete list of benefits. For some services, a doctor’s order and/or approval from Anthem may be required.

Coordinated services are services that are not covered by your Anthem MLTC plan. You get these services through Medicare or through fee-for-service Medicaid. Your care manager is here to assist you by arranging and coordinating these services for you:

Hospitalization
Physician care
Specialist care
Preventive care
Emergency care
Lab tests and X-rays
Prescription drugs
Behavioral health services

To join MAP, you must also enroll with Anthem Medicare. Find Medicare doctors in your area today.

Our care management team works to help make healthcare less complicated for our MLTC members. We manage all your physical, behavioral health, and long-term care services through care coordination. These services include:

Your care manager

You’ll have your own care manager who’ll get to know you, your family, and your care team. They’ll visit in-person to help you:

Access the right long-term care services in the right setting.
Receive necessary medical supplies and equipment.
Find doctors and other resources close to home.
Make good healthcare choices.

Your care team

Your care team includes a care manager, doctors, and family. We’ll work together to help manage your health.

Your care plan

You’ll get a care plan designed just for you. Your care manager will work with you to decide what care and services are needed to meet your healthcare goals.

Your health plan support

Our team of experienced nurses, social workers, and behavioral health clinicians know your community. They can help you decide on treatment options, find local resources, and learn how to get the most from your benefits.

If your monthly income is more than Medicaid limits, you can spend down the difference. Social Services will review your income before joining Anthem MAP and decide if you must spend down part of your monthly income to meet the Medicaid requirements.

Some services need preapproval or prior authorization. This means that you or your doctor must ask Anthem to approve those services or benefits before you get them.

Your care manager can assist you with getting these services: