Opening Doors to Better Health

IPA & Provider Services

Monroe Plan was originally founded by a handful of pioneering physicians over 50 years ago. Today, we manage an extensive, established Independent Physician Association (IPA) representing over 12,000 physicians and allied healthcare professionals.

As a leader in value-based agreements, our IPA members and their patients benefit from the power of collective contracting, as well as our advocacy, best practice forums, clinical and analytical support programs.

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Health Care Services

Join the ranks of satisfied customers who have leveraged our expertise to increase operational efficiency, reduce cost, and improve quality of care.

With 50 plus years of managed care experience, Monroe Plan is widely recognized for:

- Care Management
- Utilization Management
- Healthcare Analytics
- Value Based Contracting

Let’s Work Together!

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Health Home

Care Management Agency

Monroe Plan’s Mission centers on addressing the socio-economic and access barriers Medicaid members often face in health care. Through our Health Home Care Management Agency (CMA), we serve 29 counties and over 3000 members.

As one of the largest CMA’s in Upstate NY, Monroe Plan has an outstanding reputation for providing compassionate, effective, and high quality care management.

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The concept of unity, cooperation, teamwork and charity.

Work with a Heart

Make a real difference in the lives of others. Join Monroe Plan’s team of dedicated, caring professionals in our passionate pursuit of improved access and quality of healthcare for underserved populations. Reap the intrinsic rewards of serving others while enjoying flexible work arrangements, awesome benefits, and a supportive, inclusive culture!

Available Career Opportunities

Monroe Plan Benefits

News & Events

From celebrating long traditions to forming new partnerships, there’s always something exciting happening at Monroe Plan. Find news and important updates here!

AMIDA CARE shares “ …Monroe Plan is the Perfect Partner…”

Amida Care’s VP of Clinical Services, Kevin Steffens, shares, “From the onset of our year partnership, it was clear that Monroe Plan’s team had the depth and breadth of experience with both utilization management and our specific population that could help streamline our processes and strengthen our regulatory compliance. Since engaging Monroe Plan, the timeliness and quality of reviews has been greatly improved. Monroe Plan is the perfect partner for us…a knowledgeable, collaborative, and cost-effective extension of our team!” .

A Satisfied Customer Comments

“Our goal was to create a rapidly deployable, scalable infrastructure fostering network level integration of physical and behavioral health, focused on making data available to our partners and providing performance improvement support that made this data actionable.

Monroe Plan Awarded OASAS Grant

OASAS provides funding to not-for-profit organizations, local governmental units, and other businesses to support a comprehensive system of addiction services for all New Yorkers. The competitive procurement process enables OASAS to combat addiction at the local level by supporting new programs and expanding existing services for substance use disorders. Monroe Plan for Medical Care is excited to share that we are supporting OASAS in the clinical UM functions.

Monroe Plan Named Top UM Provider

We are pleased to share that HealthCare Business Review Magazine recently named Monroe Plan for Medical Care a top Utilization Management Solutions Provider for 2022. Monroe Plan is the featured article in a recent edition of HealthCare Business Review! Monroe Plan’s robust, NCQA accredited Utilization Management Program was recognized for consistently using national, best-practice, evidence-based criteria to review services and as a result, improving the quality of care and controlling costs for customers.

ACAP Names Monroe Plan a Preferred Vendor

Monroe Plan for Medical Care is pleased to announce that we have been recognized as a Preferred Vendor by the Association for Community Affiliated Plans (ACAP). ACAP is a national trade association which represents not-for-profit SafetyNet Health Plans. Collectively, ACAP plans serve more than twenty million enrollees through Medicaid, Medicare, Marketplaces and other public health coverage programs. Monroe Plan’s ACAP Preferred Vendor status further substantiates our outstanding reputation and recognized expertise in the Managed Care sector.