How to Reach the Division of Managed Care and Program Evaluation

You can contact us by sending e-mail to:omcmail@health.state.ny.us or call the number listed below for your area of concern. You may also write to:

NYSDOH Division of Managed Care and Program Evaluation
Empire State Plaza
Corning Tower, Room 2001
Albany, New York 12237-0094

Important Phone Numbers

Issue/Concern Phone
(area 518)
1115 Waiver/Partnership Plan 473-0122
Acquisitions of MCOs 474-5515
Actuarial Rates Consultants 474-5050
ADA Issues 473-0122
Applications for Plan Certification 474-5515
Auto-Assignment 473-0122
Benefit Package/Scope of Benefits 474-5050
Benefits Package Design 473-0122
Billing Issues/Problems 474-5050
Children with Special Needs and Managed Care 473-7467
Clinical Guidelines and Standards of Care 486-6865
Clinical Issues/Policies 486-6865
Clinical Studies 486-9012
COBRA and Managed Care 473-7467
Codes, Updates, Technical Assistance 474-5050
Complaint Helpline/Quality of Care 1-800-206-8125
Consumer Services 473-1134
Continuing Care Retirement Communities(CCRC) 474-6965
Conversions of MCOs 474-5515
Cost Savings Analysis 474-5050
County Relations 486-9015
Court-ordered Services 473-7467
Dental Issues and Managed Care 473-0122
Developmental Disabilities and Managed Care 473-7467
Disenrollment/Enrollment Policies 473-1134
Electronic Medicaid Eligibility Verification System (EMEVS) 474-5050
Enforcement Actions on MCOs 474-5515
Enrollment Broker 473-1134
Enrollment Data, Medicaid/Commercial 474-5050/486-9012
Expansions of MCOs 474-5515
External Appeals (State Insurance Dept) 1-800-400-8882
Financial Reserves Analysis 474-5050
Foster Care and Managed Care 473-7467
Health Plan Qualification Process 473-0122
Health Provider Network (HPN) 486-9012
HEDIS 486-9012
HIV and Managed Care 473-7467
IPA Issues 474-5515
Licensure of MCOs 474-5515
Managed Care Systems Design 474-5050
Managed Long-Term Care 474-6965
Marketing Information, Guidelines 473-1134
Medicaid Eligibility Questions 474-5050
Medicaid Encounter Data System (MEDS) 486-9012
Medicaid Managed Care Contracts 473-1134
Medicaid Managed Care Helpline (NYC) 1-800-505-5678
Medicaid Rosters 474-5050
Medicaid/Medicare Capitation 474-2293
Medical Policies 486-6865
Medical/Clinical Complaints and Grievances 486-6865
Medicare Balanced Billing 474-6965
Mental Health and Managed Care 473-7467
MMIS questions and complaints 474-5050
NCQA Accreditation Report 486-9012
Outcome Studies 486-9012
Partial Capitation 473-0122
PCP/WMS Questions 474-5050
Pharmacy Issues and Managed Care 486-6865
Physician Case Mangement Program 474-5050/473-0122
Prenatal Care and Managed Care 473-7467
Provider Contract Review 474-5515
Provider Network 486-9012
Public Health and Managed Care 473-7467
QARR (Quality Assurance Reporting Requirements) 486-9012
Quality Improvement 486-9012
Quality Incentive 486-9012
Rate Setting for Managed Long-Term Care 474-6965
Rate Setting for Medicaid Managed Care 474-5050
Readiness Reviews 474-5515
Risk Analysis 474-5050
Rural Health and Managed Care 473-0122
Satisfaction Surveys 486-9012
School Based Health Centers and Managed Care 473-7467
Special Needs Plans 473-7467
Special Populations and Managed Care 473-7467
Supplemental Transitional Payment Program 473-5050
TB and Managed Care 473-7467
Utilization Review Agents 474-5515
Workers' Compensation PPOs 474-5514