Fact Sheet for Providers: Find out about our new plans on and off the New York State of Health Marketplace.
Affinity has designed a new Medicare Advantage Prescription Drug Plan Portfolio that includes both HMO and HMO-SNP plans.
Find updates on Affinity policies, initiatives, clinical standards and industry news in the latest issue of our provider newsletter.
There have been some changes to the medication coverage for Medicaid, Child Health Plus and Family Health Plus plans.
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: Nicole De La Vega, Sr. Manager: 718.794.5914
Contracting: Stacey Adams, Manager: 718.794.5933
Here are other Affinity
departments who serve our provider network.