Medicaid plans › New York
New York Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
New York Medicaid is run by the New York State Department of Health. 4,751,430 people were enrolled in its 21 managed-care plans in 2024. To see their patients, a provider enrolls with New York Medicaid through eMedNY, then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Fidelis Care | 1,532,160 | 32.2% | Centene |
| Healthfirst Health Plan | 1,165,758 | 24.5% | In-state |
| MetroPlus Health Plan | 424,733 | 8.9% | In-state |
| HealthPlus | 356,234 | 7.5% | Elevance Health |
| UnitedHealthcare | 277,423 | 5.8% | UnitedHealth Group |
| Molina Healthcare of New York | 248,939 | 5.2% | Molina Healthcare |
| Excellus Health Plan | 198,626 | 4.2% | In-state |
| MVP Health Plan | 172,911 | 3.6% | In-state |
| HIP | 144,993 | 3.1% | In-state |
| Capital District Physician's Health Plan | 88,556 | 1.9% | In-state |
| Independent Health Association | 63,060 | 1.3% | In-state |
| Highmark Western & Northeastern NY | 48,146 | 1% | Highmark |
| AmidaCare Special Needs | 8,870 | 0.2% | In-state |
| VNS Choice | 8,183 | 0.2% | In-state |
| ElderPlan | 4,421 | 0.1% | In-state |
| VillageCareMAX | 3,294 | 0.1% | In-state |
| Centers Plan | 1,870 | 0% | In-state |
| Partners Health Plan - FIDA-IDD | 1,666 | 0% | In-state |
| Hamaspik | 963 | 0% | In-state |
| ElderServe (Riverspring) | 334 | 0% | In-state |
| Senior Whole Health | 290 | 0% | Molina Healthcare |
How Joining Works in New York
First the state: New York Medicaid enrollment through eMedNY, which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 5 parent companies run plans here, and plans owned by the same company still contract state by state.
How to Join Each New York Plan
Fidelis Care (Centene): Centene runs this plan alongside its Ambetter and Wellcare products. Each Centene plan takes its own contract request on the plan's provider website, credentials from your CAQH ProView (DataSpring) profile, and will not load a provider without the state Medicaid ID.
HealthPlus (Elevance Health): Elevance Health plans take participation requests through the plan's provider site for that state, most of them now inside Availity Essentials, and credential from your CAQH ProView (DataSpring) profile. Each state is its own contract.
UnitedHealthcare (UnitedHealth Group): UnitedHealthcare Community Plans use UnitedHealthcare's provider onboarding: a participation request on the UnitedHealthcare provider site, credentialing from your CAQH ProView (DataSpring) profile, then a state-specific Community Plan agreement.
Molina Healthcare of New York, Senior Whole Health (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
Highmark Western & Northeastern NY (Highmark): This is Highmark's Medicaid line, contracted separately from Highmark's commercial network.
Healthfirst Health Plan, MetroPlus Health Plan, Excellus Health Plan, MVP Health Plan, HIP, Capital District Physician's Health Plan, Independent Health Association, AmidaCare Special Needs, VNS Choice, ElderPlan, VillageCareMAX, Centers Plan, Partners Health Plan - FIDA-IDD, Hamaspik, ElderServe (Riverspring): This plan is run in-state rather than by a national carrier, so participation requests go to the plan's own provider relations or contracting team, listed on its provider website.
Also in New York: Medicare, New York Medicaid and commercial credentialing.
Questions
Which New York Medicaid plan is the largest?
Fidelis Care, with 1,532,160 members in 2024, 32.2% of the 4,751,430 people enrolled in New York's Medicaid managed-care plans.
Do I have to join every New York Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require New York Medicaid enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.