Care Management Programs

At MetroPlus we are dedicated to helping you manage your health.  Our Care Management Program was designed to help you stay healthy and give you additional support when you need it the most.  The goal of our program is to work with you and your doctor to help manage health issues and help you get the services you need to remain independent and in control of your life.  

Behavioral Health

Life can be stressful, and sometimes you need a little help.  MetroPlus works closely with  Beacon Health Options to ensure that you can get help from a mental health professional if you need it.  Getting this kind of help doesn’t mean you are “crazy” and it doesn’t make you “weak.” You can speak with your doctor or you can contact us directly at 1-855-371-9228, and we will help you find a behavioral health professional.

Care Management

This program is designed for members who need additional support to manage their health. If you were just discharged from the hospital, need help to manage a chronic condition or a high-risk pregnancy, you may benefit from care management. A Care Manager will meet you where you live, and will work with you and your doctor to coordinate the best possible care.

Domestic Violence

Domestic Violence should not happen to anybody, but it does. And when it does, there is help. Maybe you don't know who to talk to or have had a bad experience before when you tried to get help. We will listen to you without letting others know you called and get you the help you need. We can help you obtain resources to get you out of harm's way.

Additional help is available. You can call these confidental numbers, 24 hours a day:
National Domestic Abuse Hotline: 1-800-799-SAFE (7233) or, for TDD users, 1-800-787-3224
New York City Domestic Violence Hotline: 311

Partnership in Care (for people living with HIV/AIDS)

If you are living with HIV/AIDS, this program helps you manage your condition to stay healthy. Our Case Managers help you make appointments with an HIV Specialist as your PCP and stay on top of your medications. We can also make it easier to see specialty providers such as Hepatitis C experts, dermatologists and heart specialists. For more information, see our Medicaid Partnership in Care SNP page.

Smoking Cessation

Smoking can lead to many serious health problems, like lung cancer, stroke and heart disease. Quitting is one of the biggest steps you can take to improve your health and the health of those around you. If you smoke and want to quit, we want to give you the help you need. You can call the  NYS smokers hotline:  1-866-NY-QUITS (1-866-697-8487) to speak with experts. You can also visit the NY Smoke Free website.

Integrated Care Management (ICM)

Founded in the last quarter of 2017, the MetroPlus Integrated Care Management (ICM) program is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the services and options available to meet the health and human service needs of members with complex care needs and who are at risk for increased hospital admissions and emergency room visits. The ICM program provides face-to-face interaction (when needed) to foster member engagement, member-centered care planning and goal attainment.  The ICM program serves eligible members in the 5 boroughs of New York City. Care Managers complete a comprehensive assessment, identify/prioritize goals, coordinate based on member need and available resources and work with the primary care provider, specialist and other members of the health care team to develop and implement a plan of care.  Periodic evaluation of progress, with interdisciplinary team meetings, are conducted and modifications are made as needed. Learn more here.