NYC Medicaid fee-for-service enrollees, Family Health Plus enrollees who are 19 or 20 years old, and NYC Medicaid Managed Care enrollees (except those in a Managed Long Term Care plan) in the following Medicaid Managed Care plans:
- Affinity Health Plan (code 82)
- Amida care (code OD)
- Emblem Health (code 99) (formerly the Health Insurance Plan of Greater NY [HIP])
- Healthfirst PHSP (code SF)
- Health Plus, an Amerigroup company (code KP)
- Metro Plus (code 92) (Metropolitan Health Plus) and Metro Plus (code OM)
- Neighborhood Health Providers (code NP)
- NYS Catholic Health Plan (code SP) (also known as Fidelis)
- United Healthcare Community Plan (code MO) (formerly AmeriChoice NY)
- VNSNY Choice Select (code VS)
- Wellcare of NY (code WC)