Questions? Want to speak to a live VillageCareMAX representative?

hot-line 1.800.469.6292

Call us 7 days a week — 8AM to 8PM
TTY/TTD: 711

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Information for Providers

VillageCareMAX fully supports the Patient-Centered Medical Home initiative.  Our team collaborates with local community services and the patient’s providers to effectively coordinate medical, behavioral, pharmaceutical, and social and community-based services.

The result is a comprehensive, team-based care plan that anticipates and adapts to the changing needs of each member, striving to keep them secure, independent and living in the comfort of their own home.

As a  provider, you want to spend your time taking care of your patients and we’ll take of the rest.

Provider Benefits

  • Ability to maintain current referral patterns
  • Care management team to assist with resource management
  • Around-the-clock access to a nurse coordinator for information to facilitate service coordination

Participating Provider Responsibilities

  • Check governmental exclusion lists on a monthly basis, including the U.S. Dept. of Health and Human Services Office of the Inspector General (“OIG”) List of Excluded Individuals and Entities and the NY Office of the Medicaid Inspector General (“OMIG”) List of Exclusions to ensure that no employee/staff is excluded from participation in government programs.

We’re offering a variety of resources and links designed to meet both your needs and the needs of your patients.

 

Helpful Links

Annual Compliance Requirements

Provider Portal

VillageCareMAX Provider Manual (PDF)

ICD-10 Transition Frequently Asked Questions (PDF)

Provider Notice on FIDA Reforms

FIDA Brochure

H2168_MKT18_03 CMS Pending
  • Questions? 1-800-4MY-MAXCARE  

    phone 1-800-469-6292

    7 days a week — 8AM to 8PM TTY/TTD: 711
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