Affinity changes its hours of operation, effective January 1, 2014.
We've added Mt. Sinai to our Health Insurance Marketplace Plan provider network, and expanded our partnerships with NY-Presbyterian and Hospital for Special Surgery.
Fact Sheet for Providers: What you need to know
Affinity now offers Medicare Advantage programs to residents of Nassau, Suffolk, Westchester, Rockland and Orange counties.
These services are now included as part of the Affinity Medicaid Managed Care benefit package.
Affinity Health Plan is changing its authorization guidelines for Occupational Therapy, Physical Therapy, Speech Therapy, Durable Medical Equipment (DME) and ambulatory surgery to help streamline our processes.
Affinity partners with its provider network to improve the
health of underserved populations. As our
Mission states, “[Together], we strive to improve care-seeking and
care-giving.” Providers interested in joining our network will find useful
information about Affinity. You can get helpful details about submitting
claims, learn about special programs we offer, and receive answers to
frequently asked questions. Contracted Affinity providers can use our Web portal to check Member eligibility and claim status,
look up Affinity providers for referrals and more.
Click here for
more information on joining our network.
Has your contact
information changed? Let us know!If you are a current provider,
you can update your address, phone or fax number, or other contact information
by completing and returning our Provider Information Update Form.
informedAffinity is committed to nurturing a fruitful
relationship with its network providers. Our provider relations, contracting
& credentialing unit engages with participants in our provider network to
keep you informed about our policies, procedures, requirements and
expectations. Field representatives make regular site visits to address
administrative concerns of physicians and medical office staff. We always
strive to streamline and simplify your transactions with us.
Affinity Health Plan’s Compliance TrainingThe Centers
for Medicare and Medicaid Services (CMS) guidelines require that we provide
annual training on select topics related to public health programs.
For the SNP
MOC and FWA training modules, click
Contacts For general concerns, please
contact our customer service staff at 1.866.247.5678. For specific issues, you
may reach us at one of these numbers:
Provider Relations: Bruce Waugaman, Director: 718.794.7183
Contracting: Ajhezza Gonzalez, Director: 718.794.3128
Here are other Affinity
departments who serve our provider network.