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VOICES Medicaid Education Program

VOICES Medicaid Education Program provides support, education and advocacy for patients and community members seeking, or wanting to maintain access to care at the HSS Ambulatory Care Center (ACC). We help individuals navigate their Medicaid and Medicare/Medicaid plan coverage, as well as those enrolled in other public insurance programs.

Here are some of the ways our program can help you navigate the complex Medicaid system, in order to obtain or maintain access to orthopedic and rheumatologic specialty care:

  • Select a Medicaid Managed Care plan.
  • Understand your Medicaid coverage and your options under Medicaid Managed Care, including information on how to obtain an out-of-network authorization if you have a Medicaid Managed Care plan HSS does not participate with.
  • Answer questions related to transitioning from Medicaid to Medicare coverage
  • Provide information related to other public insurance programs available through New York State of Health Marketplace.
  • Refer you to other related resource

Live in New York State and need health insurance?

You can apply for health insurance through the Affordable Care Act (ACA) and purchase a qualified health plan during open enrollment. View the PDF below for more information.

Program Resources

If you are new to Medicaid and would like to be seen at HSS, our Medicaid Managed Care information flyer in English and Spanish will help you understand your insurance options.

Do you need insurance? If so, our Affordable Care Act (ACA) information flyer in English and Spanish will help you prepare for the application process through the Affordable Care Act. This includes Medicaid and Child Health Plus, or purchasing a Qualified Health Plan.

HSS Resources

Here is a list of contact information for services within HSS that you may find helpful:

Community Insurance Resources

You may find the following community resources helpful:

  • NYC Human Resources Administration
    For information regarding your Medicaid case, public health insurance, temporary cash assistance, food stamps, home care for seniors and the disabled, child care, adult protective services, domestic violence, HIV/AIDS support services and child support enforcement.
    718.557.1399
  • New York Medicaid CHOICE (Only for those that applied for Medicaid through Local Department of Social Service (LDSS))
    For information regarding all your options under Medicaid Managed Care, such as assistance choosing or changing your plan. You can also apply for Managed Long-Term Care.
    800.505.5678
  • New York State of Health (Official Health Plan Marketplace)
    Enroll in Medicaid, Child Health Plus (CHP) or Essential Plan any time of the year, if you are eligible. You can also enroll in a Qualified Health Plan (QHP) during open enrollment periods, or if you have a qualifying event.
    855.355.5777

Hospital for Special Surgery participates with the following programs

Fee-for-service Medicaid and the following Medicaid Managed Care plans

  • Affinity By Molina
  • Emblem Health-HIP (Please note that Emblem Health-HIP may require an in-network referral)
  • Fidelis Care
  • Healthfirst
  • United Healthcare Community Plan (Please note that United Healthcare may require a referral from your PCP) 

Essential Plan 

  • Affinity By Molina
  • Emblem Health-HIP
  • Fidelis Care
  • United Healthcare

Non-Participating Medicaid Managed Care Plans

If you are enrolled in a NY Medicaid Managed Care Plan that HSS does not participate with, you may need to get an out-of-network authorization. 

HSS participates with Traditional Medicare. You are responsible for co-insurance and deductible costs. If you are enrolled in a Medicare Advantage plan, the benefits and coverage at Hospital for Special Surgery may be limited.

For up-to-date information regarding our participation or how to obtain an out of network authorization, please contact us at 212.774.2011 to discuss your insurance options.

How to Renew Your NY Medicaid Health Insurance

Do you or a family member currently have health insurance through New York State Medicaid, Child Health Plus, or the Essential Plan?

As of Spring 2023, New York State resumed eligibility reviews and renewals for individuals enrolled in these programs. This means you may need to take action to renew your health insurance or the insurance of your family members.

Visit the New York State Medicaid site

Informational Flyers

Available in English and Spanish (PDF files)


 
 
 

 

VOICES Medicaid Education Program staff are available by phone, email and in person (by appointment).

Monday - Friday
8:30 am - 5:00 pm

Randy Rodriguez
Program Manager
VOICES Medicaid Education Program
212.774.2011
voicesmedicaideducation@hss.edu

Carlene Kurschinski-Rivera
Senior Program Associate
VOICES Medicaid Education Program
212.774.2011

Arlene Hidalgo
Program Associate
VOICES Medicaid Education Program
212.774.2011

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