Managed-Care Plans in New York Accredited by NCQA, October 1997
Plan
Profit status
Accreditation
Service Area
(by county)Blue Choice (BC/BS
Rochester, Finger Lakes
Health Ins. Co.)
Non-profit
Full
Genesee, Livingston,
Monroe, Ontario,
Orleans, Seneca,
Wayne, Wyoming,
Yates Capital Area Community
Health Plan Inc.
Non-profit
Full
Albany, Broome,
Chenango, Clinton,
Columbia, Delaware,
Dutchess, Fulton,
Greene, Hamilton,
Herkimer, Madison,
Montgomery, Orange,
Otsego, Rensselaer, So.
Saratoga, Schenectady,
Schoharie, Ulster,
Warren, Washington Capital District
Physicians Health Plan
Non-profit
Full
Albany, Columbia,
Fulton, Greene,
Montgomery,
Rensselaer, Saratoga,
Schenectady,
Schoharie, Warren,
Washington Community Blue
(BC/BS Western New
York)
Non-profit
Full
Allegany, Cattaraugus,
Chautauqua, Erie,
Genesee, Niagara,
Orleans, Wyoming Health Care Plan
Non-profit
Full
Allegany, Cattaraugus,
Chautauqua, Erie,
Genesee, Niagara,
Orleans, Wyoming HealthNet (Empire
BC/BS)
Non-profit
1 year
Albany, Bronx,
Columbia, Delaware,
Dutchess, Essex,
Fulton, Greene, Kings,
Montgomery, Nassau,
New York, Orange,
Putnam, Queens,
Rensselaer, Richmond,
Rockland, Saratoga,
Schenectady,
Schoharie, Suffolk,
Sullivan, Ulster, Warren,
Washington,
Westchester Healthsource HMO of
NY, Inc. (Patient's
Choice)
For-profit
Full
Cayuga, Cortland,
Madison, Onondaga,
Oswego HIP (Health Insurance
Plan of Greater NY)
Non-profit
Full
Bronx, Kings, New York,
Queens, Richmond,
Nassau, Orange,
Rockland, Suffolk,
Westchester HMO-CNY
For-profit
1 year
Broome, Cayuga,
Chemung, Chenango,
Cortland, Delaware,
Madison, Onondaga,
Oswego, Schuyler,
Steuben, Tioga,
Tompkins HSMC (Health Services
Medical Corp.-PHP)
Non-profit
Full
Cortland, Herkimer,
Oneida, Onondaga,
portions of Broome,
Cayuga, Madison,
Oswego, Tioga,
Tompkins Independent Health
Association (IHA) -
Buffalo
Non-profit
Full
Bronx, Kings, New York,
Queens, Richmond,
Allegany, Cattaraugus,
Chautauqua, Dutchess,
Erie, Genesee, Nassau,
Niagara, Orange,
Orleans, Putnam,
Rockland, Suffolk,
Ulster, Westchester,
Wyoming Kaiser Foundation
Health Plan of New York
Non-profit
Full
Westchester MVP (Mohawk Valley
PHP)
Non-profit
1 year
Albany, Broome,
Chenango, Clinton,
Columbia, Delaware,
Dutchess, Essex,
Franklin, Fulton,
Greene, Hamilton,
Herkimer, Lewis,
Madison, Montgomery,
Oneida, Onondaga,
Orange, Otsego,
Putnam, Rensselaer, St.
Lawrence, Saratoga,
Schenectady,
Schoharie, Tioga,
Ulster, Warren,
Washington NYLCare Health Plans
of New York, Inc.
For-profit
1 year under review
Bronx, Kings, New York,
Queens, Richmond,
Nassau, Orange,
Putnam, Rockland,
Suffolk, Westchester Oxford Health Plan
For-profit
Full
Bronx, Kings, New York,
Queens, Richmond,
Nassau, Orange,
Putnam, Rockland,
Suffolk, Westchester Physicians Health
Services
For-profit
1 year under review
Bronx, Kings, New York,
Queens, Richmond,
Dutchess, Nassau,
Orange, Putnam,
Rockland, Suffolk,
Westchester Preferred Care
(Rochester Area HMO)
Non-profit
Full
Broome, Chenango,
Genesee, Livingston,
Monroe, Ontario,
Orleans, Seneca, Tioga,
Wayne, Wyoming,
Yates
Source: New York State Health Department, 1995 Quality Assurance Reporting Requirements: A Report on Managed Care Performance, December 1997. The Health Department report states: "NCQA's accreditation is a rigorous and comprehensive evaluation process whereby plans are assessed on how well their delivery system is providing and continually improving care and service for its members. Plans can be fully accredited (three years), accredited for one year, provisionally accredited or denied accreditation."
