Accessibility Tools

PHP Provider Network

Your PHP
Providers

Get the services and supports you need when you need them. Partners Health Plan’s network of providers offers timely access to high quality care across the full continuum of covered services and supports.

About the PHP Provider Network

Quality and Breadth of Network

PHP has developed a comprehensive provider network that is diverse and responsive to the needs of the individuals that we serve, including offering our participants a choice of available providers across the full continuum of covered services under all PHP Plans. Our provider network has been specifically developed to include providers that are fully accessible to persons with disabilities and capable of delivering services in a culturally competent and sensitive manner. The network has sufficient breadth to offer our participants a choice of providers within the time and distance access standards established by the state and includes providers that are experienced in delivering care across the full range of IDD diagnoses, including individuals who are non-verbal, medically fragile, and/or exhibit challenging behaviors.

Our network also includes providers that treat patients in the AHRC/ARC’s affiliated clinics as well as providers of day habilitation programs, ICF/IID services, supervised and supportive residential alternatives, and vocational services, among others. We have also recruited local community and clinic providers (e.g., physicians, dentists and therapists) with expertise in serving persons with IDD.

Woman smiling behind another woman smiling

Continuing With Your Current Provider

If you are a newly enrolled participant that has been receiving treatment from an out-of-network provider for a service that is covered by PHP Care Complete FIDA-IDD Plan or PHP Care Preferred Medicaid Plan, you may continue to see your provider for at least 90 days following enrollment or until a comprehensive assessment has been completed (whichever is later) if all of the following criteria are met:

  • You can demonstrate an existing relationship with the provider prior to enrollment (i.e., you visited the provider within the previous six months)
  • The provider is willing to accept payment based on the current Medicare/Medicaid fee schedule, as applicable
  • PHP would not otherwise exclude the provider from the network due to documented quality of care concerns

On an ongoing basis, PHP’s Provider Relations staff will make reasonable attempts (e.g., semi-annual telephone contacts, distribution of written materials about PHP, etc.) to recruit non-participating providers that have historically served PHP participants into our network.

Similarly, if you are a new PHP Care Complete FIDA-IDD Plan participant residing in an out-of-network Intermediate Care Facility, you will be allowed to remain in the facility as long as needed. PHP will also make a reasonable effort to recruit the facility into our network.

Your provider could join our network!

PHP is always seeking to enhance our participants’ access to care from dedicated providers with experience in treating adults with IDD. If you and/or your authorized representative have been seeing or are familiar with a licensed provider of services and supports that would make a positive addition to PHP’s provider network, please let us know and our Provider Relations team will follow up. You can also ask the provider to contact us at 1-855-747-5483 or TTY/TDD: 711.

Categories of Providers

Medical / Physical Health Providers
  • Hospitals (inpatient and ambulatory)
  • Urgent Care Clinics Clinic Services
  • Primary Care Physicians (i.e., Internal and Family Medicine, Gynecology)
  • Specialist Physicians (e.g., cardiology, ENT, endocrinology, nephrology, geriatrics, pulmonology, gastroenterology, neurology, urology, proctology, nephrology, etc.)
  • Dentists, Oral Surgeons, and Dental Hyhienists
  • Nursing Services (RNs, NPs)
  • Home Health Care
  • Nutritional Services
  • Pharmacies
  • Laboratories
  • Radiological and Imaging Services
  • Renal Dialysis Providers
  • Rehabilitation Services
  • Occupational Therapists
  • Speech and Language Therapists
  • Physical Therapists
  • Vision Services
  • Durable Medical Equipment
  • Audiologists
  • Podiatrists
  • Skilled Nursing Facilities
  • Rehabilitation Facilities
Behavioral Health Providers
  • Psychiartric Hospitals (Inpatient and Ambulatory)
  • Psychiatrists Licensed Nurse Practitioners
  • Certified Chemical Dependency Professionals
  • Psychologists
  • Licensed Independent Mental Health Practitioners
  • Licensed Behavioral Therapists
  • Licensed Clinical Social Workers with Psychotherapy Privilege
LTSS Providers, Including IDD-Specific Service Providers
  • Day and Community Habilitation Services
  • Residential Services (i.e., in OPWDD-certified residences)
  • Supported Employment Services
  • Transportation Services
  • Environmental Modifications Personal Care
  • Family Care
  • Nursing Facilities
  • Prevocational Services
    Intermediate Care Facilities for the Developmentally Disabled (ICF/IDDs)
  • Respite Care Services

Multi-language Interpreter Services

  • English

    We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, just call us at 1855-747-5483. Someone who speaks English/Language can help you. This is a free service.
  • Spanish

    Tenemos servicios de intérprete sin costo alguno para responder cualquier pregunta que pueda tener sobre nuestro plan de salud o medicamentos. Para hablar con un intérprete, por favor llame al 1-855-7475483. Alguien que hable español le podrá ayudar. Este es un servicio gratuito.
  • Chinese Mandarin

    我们提供免费的翻译服务,帮助您解答关于健康或药物保险的任何疑 问。如果您需要此翻译服务,请致电1-855-747-5483。我们的中文工作人员很乐意帮助您。 这是一项免费服务。
  • Chinese Cantonese

    您對我們的健康或藥物保險可能存有疑問,為此我們提供免費的翻譯 服務。如需翻譯服務,請致電1-855-747-5483。我們講中文的人員將樂意為您提供幫助。這 是一項免費服務。
  • Tagalog

    Mayroon kaming libreng serbisyo sa pagsasaling-wika upang masagot ang anumang mga katanungan ninyo hinggil sa aming planong pangkalusugan o panggamot. Upang makakuha ng tagasaling-wika, tawagan lamang kami sa 1-855-747-5483. Maaari kayong tulungan ng isang nakakapagsalita ng Tagalog. Ito ay libreng serbisyo.
  • French

    Nous proposons des services gratuits d'interprétation pour répondre à toutes vos questions relatives à notre régime de santé ou d'assurancemédicaments. Pour accéder au service d'interprétation, il vous suffit de nous appeler au 1-855-747-5483. Un interlocuteur parlant Français pourra vous aider. Ce service est gratuit.
  • Vietnamese

    Chúng tôi có dịch vụ thông dịch miễn phí để trả lời các câu hỏi về chương sức khỏe và chương trình thuốc men. Nếu quí vị cần thông dịch viên xin gọi 1-855-747-5483 sẽ có nhân viên nói tiếng Việt giúp đỡ quí vị. Đây là dịch vụ miễn phí .
  • German

    Unser kostenloser Dolmetscherservice beantwortet Ihren Fragen zu unserem Gesundheits- und Arzneimittelplan. Unsere Dolmetscher erreichen Sie unter 1-855-747-5483. Man wird Ihnen dort auf Deutsch weiterhelfen. Dieser Service ist kostenlos.
  • Korean

    당사는 의료 보험 또는 약품 보험에 관한 질문에 답해 드리고자 무료 통역 서비스를 제공하고 있습니다. 통역 서비스를 이용하려면 전화1-855-747-5483]번으로 문의해 주십시오. 한국어를 하는 담당자가 도와 드릴 것입니다. 이 서비스는 무료로 운영됩니다.
  • Russian

    Если у вас возникнут вопросы относительно страхового или медикаментного плана, вы можете воспользоваться нашими бесплатными услугами переводчиков. Чтобы воспользоваться услугами переводчика, позвоните нам по телефону 1-855-747-5483. Вам окажет помощь сотрудник, который говорит по-pусски. Данная услуга бесплатная.
  • Arabic

    اننإ مدقن تامدخ مجرتملا يروفلا ةيناجملا ةباجلإل نع يأ ةلئسأ قلعتت ةحصلاب وأ لودج دلأاةيو انيدل . لوصحلل ىلع مجرتم ،يروف سيل كيلع ىوس لاصتلاا انب ىلع 855-747-5483-1 .موقيس صخش ام ثدحتي ةيبرعلا كتدعاسمب .هذه ةمدخ ةيناجم.
  • Hindi

    हमारे स्वास््य या दवा की योजना के बारे में आपके ककसी भी प्रश्न के जवाब देने के लिए हमारे पास मफ्त दभाषिया सेवाएँ उपिब्ध हैं. एक दभाषिया प्राप्त करने के लिए, बस हमें 1-855-7475483 पर फोन करें. कोई व्यक्तत जो हहन्दी बोिता है आपकी मदद कर सकता है. यह एक मफ्त सेवा है.
  • Italian

    È disponibile un servizio di interpretariato gratuito per rispondere a eventuali domande sul nostro piano sanitario e farmaceutico. Per un interprete, contattare il numero 1-855-747-5483. Un nostro incaricato che parla Italianovi fornirà l'assistenza necessaria. È un servizio gratuito.
  • Portugués

    Dispomos de serviços de interpretação gratuitos para responder a qualquer questão que tenha acerca do nosso plano de saúde ou de medicação. Para obter um intérprete, contacte-nos através do número 1855-747-5483. Irá encontrar alguém que fale o idioma Português para o ajudar. Este serviço é gratuito.
  • French Creole

    Nou genyen sèvis entèprèt gratis pou reponn tout kesyon ou ta genyen konsènan plan medikal oswa dwòg nou an. Pou jwenn yon entèprèt, jis rele nou nan 1-855-747-5483. Yon moun ki pale Kreyòl kapab ede w. Sa a se yon sèvis ki gratis.
  • Polish

    Umożliwiamy bezpłatne skorzystanie z usług tłumacza ustnego, który pomoże w uzyskaniu odpowiedzi na temat planu zdrowotnego lub dawkowania leków. Aby skorzystać z pomocy tłumacza znającego język polski, należy zadzwonić pod numer 1-855-747-5483. Ta usługa jest bezpłatna.
  • Japanese

    当社の健康 健康保険と薬品 処方薬プランに関するご質問にお答えするため に、無料の通訳サービスがありますございます。通訳をご用命になるには、1-855-7475483にお電話ください。日本語を話す人 者 が支援いたします。これは無料のサー ビスです。

How can we assist you?

Contact Partners Health Plan for current member assistance, to learn more about becoming a PHP member, or for general questions and inquiries.

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Contact Us
  • Partners Health Plan
  • 2500 Halsey Street
    Bronx, NY 10461
  • (855) PHP-LIVE or (855) 747-5483
  • TTY:711
  • 8am-8pm, 7 days a week

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855-747-5483 | TTY/TDD:711
Partners Health Plan is a managed care plan that contracts with Medicare and the New York State Department of Health (Medicaid) to provide benefits to Participants through the Fully Integrated Duals Advantage for Individuals with Intellectual and Developmental Disabilities (FIDA-IDD) Demonstration.

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The State of New York has created a Participant Ombudsman Program called the Independent Consumer Advocacy Network (ICAN) to provide participants free, confidential assistance on any services offered by Partners Health Plan. ICAN may be reached toll-free at 1-844-614-8800 (TTY users call 711, then follow the prompts to dial 844-614-8800) or online at icannys.org.