New York Program Evolution
For over 20 years, MAXIMUS has worked with the New York Department of Health to support the state’s growing and evolving program needs. In 1998, we assisted in the roll-out of managed care to some of New York’s most diverse, needy, and vulnerable populations. In 2012, we extended our relationship with New York by helping implement a centralized statewide Enrollment Center, where eligible individuals can renew their Medicaid coverage. New York was one of the first states to successfully implement a "Single Point of Entry" model, where consumers could go to ensure that they received and maintained public health insurance coverage.
We’ve expanded our partnership with New York over the years to include the following services:
- Medicaid Enrollment & Eligibility - The MAXIMUS Enrollment Center handles all eligibility, enrollment, and case maintenance for Medicaid and other health insurance programs throughout the state, with the exception of New York City. We serve more than 3.3 million beneficiaries and handle approximately 85,000 calls per month.
- State Based Marketplace - We operate a contact center and an Eligibility and Enrollment unit that provide a seamless customer support solution for all Health Insurance Exchange consumers. The contact center has more than 750 staff and answers nearly 3.9 million calls a year on average.
- Provider Services - We partnered with the NY Department of Health to create a hard copy physician Profile survey, Self-Reporting Physician website, and the Physician Profile public website. The New York Physicians Profile database holds verified profile information on roughly 145,356 physicians. The NYPP website, ranked by the Informed Patient Institute and Consumer Reports in 2015 as the second best medical and osteopathic board website in the nation for content and user-friendliness, has logged more than 13.7 million visits and 271 million pages viewed.
- LTSS Assessments - When New York implemented managed long term care for dual eligibles, we incorporated this into our scope in ways that recognize the unique needs of the dual eligible population. We established a single Conflict-Free Evaluation and Enrollment Center (CFEEC) responsible for conducting third-party assessments for managed long-term care (MLCT) across the entire state. On average, the CFEEC conducts 4,000 in-home assessments each month.