Enhanced Care (Medicaid Managed Care)

Enhanced Care is our state-sponsored Medicaid Managed Care plan. There is no monthly premium payment for this plan. However, pharmacy copayments are required for some individuals. Some people who are eligible for Enhanced Care, a Medicaid Managed Care plan, include:

  • Low-income individuals, families, and children
  • Pregnant women
  • People with disabilities

Children under age 21 who are covered by Medicaid and have mental health and/or substance use needs can get additional Children's Family Treatment and Support Services at no additional cost. These children’s services are provided at home or in the community.

Available in the following counties: Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, Westchester.

Looking to become a member?
Call: 888-447-2863 (TTY 711), Monday through Friday,
8 am to 6 pm.

What drugs are covered in this plan?

We cover pharmacy benefit services for all our Medicaid Managed Care members. You must use our network pharmacies to fill all of your prescriptions and any covered over-the-counter medications, diabetic supplies, select durable medical equipment and medical supplies.

See which doctors participate in this plan

Medicaid Managed Care members get access to excellent doctors within the EmblemHealth network for no monthly premium payment, although pharmacy copayments are required for some individuals.


Plan documents

  • Medicaid Managed Care QuickStart Guide

  • Enhanced Care (Medicaid Managed Care) Member Handbook

    Last updated: 2/1/2021
  • Enhanced Care (Medicaid Managed Care) Benefit Summary

    Last updated: 2/1/2021
Member Rights and Responsibilities

Know your rights

Member Rights and Responsibilities

Understanding your rights and responsibilities as a plan member can help you and us make the most of your membership. 

EmblemHealth Facilitated Enrollment Site Listings

The dates, times and locations in this listing are subject to change. Please call us at 888-447-2863, 8 am to 8 pm, 7 days a week, to make an appointment to visit with a Facilitated Enroller in your preferred language.

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