VOICES Medicaid Education Program

VOICES Medicaid Education Program provides support, education and advocacy for patients and community members seeking, or wanting to maintain access to care at the HSS Ambulatory Care Center (ACC). We help individuals navigate their Medicaid and Medicare/Medicaid plan coverage, as well as those enrolled in other public insurance programs.

Here are some of the ways our program can help you.

• Select a Medicaid Managed Care plan.
• Understand your options under Medicaid Managed Care, including information on how to obtain an out of network authorization.
• Answer questions related to transitioning from Medicaid to Medicare coverage
• Provide information related to other public insurance programs available through New York State of Health Marketplace.

Hospital for Special Surgery participates with the following programs:

Fee-for-service Medicaid and the following Medicaid Managed Care plans: 

• Affinity By Molina
• Emblem Health-HIP (Please note that Emblem Health-HIP may require an in-network referral)
• Fidelis Care
• Healthfirst
• United Healthcare Community Plan (Please note that United Healthcare may require a referral from your PCP) 

Essential Plan: 

• Affinity By Molina
• Emblem Health-HIP
• Fidelis Care
• United Healthcare

Non-Participating Medicaid Managed Care Plans
If you are enrolled in a NY Medicaid Managed Care Plan that HSS does not participate with, you may need to get an out-of-network authorization. 

HSS participates with Traditional Medicare. You are responsible for co-insurance and deductible costs. If you are enrolled in a Medicare Advantage plan, the benefits and coverage at Hospital for Special Surgery may be limited.

For up-to-date information regarding our participation or how to obtain an out of network authorization, please contact us at 212.774.2011 to discuss your insurance options.