Health and Recovery Plan | New York Medicaid

Extra care for behavioral health needs

HARP is the Anthem Health and Recovery Plan in New York. It offers regular Medicaid benefits plus extra access to care for behavioral health needs, such as mental health and substance use treatment.

Who’s eligible for HARP in NY?

You may be eligible for HARP through Anthem if you:

Are age 21 or older.

Live in the Bronx, Brooklyn (Kings), Manhattan (New York), Queens, Staten Island (Richmond), or Putnam County.

Are enrolled in Medicaid.

Have been diagnosed with a serious mental illness or substance use disorder.

What you get with Anthem

Doctor visits

Low-cost prescriptions

A helpful care manager

There are no copays for covered medical services, including:

Primary care provider (PCP) visits
Immunizations and wellness visits
Specialist visits
Urgent care
Emergency care
Lab and X-ray services
Pregnancy services
Family planning
Hospital care
Physical therapy
Speech and hearing services
Behavioral healthcare (mental and substance abuse services)
Smoking cessation services
Home healthcare services
Disease management for asthma, diabetes, and other conditions

Check your member handbook for a full list of benefits in your plan.

Find care

Some services need preapproval or prior authorization. This means you or your doctor must ask Anthem to approve those services or benefits before you get them. These services include:

Some ambulatory surgery
Certain chemotherapy not covered by NYRx
Dialysis
Durable medical equipment
Growth hormone evaluation
Digital hearing aids
Home care
Hyperbaric oxygen therapy
Inpatient services
Lithotripsy
Non-emergent fixed wing transportation
Obstetrical services (except family planning services)
Oxygen equipment (respiratory therapy)
Prosthetics and orthotics
Some physician-administered drugs not covered by NYRx
Transplant evaluation

In Lieu of Services (ILS) are other physical and behavioral health services you may receive instead of those covered by your Medicaid plan. ILS services:

Are cost-effective substitutes for covered services and settings.
Are approved by New York State.
Help us give you more options for your care.

To learn more about ILS and what we offer, visit the New York State Department of Health website.

Healthy Rewards is a no-cost optional program for eligible Anthem members. It pays you for completing healthy activities like:

Yearly well-child and childhood dental visits.
Prenatal and postpartum visits for pregnant members.
Screenings for diabetes management.

To redeem your Healthy Rewards, visit the Benefit Reward Hub. To learn about other value-added benefits, visit the Extra Benefits page.

As a member of Anthem HARP, you can get specialty services to help you reach your health goals. Behavioral Health Home and Community Based Services (BH HCBS) can help you stay out of the hospital and live safely in the community. These services can also help you:

Find housing.
Live independently.
Find a job.
Return to school.
Manage stress.
Prevent crises.
Get help from people who’ve been there.

You have access to a care manager who’ll make sure you get the medical, behavioral health, and social services you need. They can help you make appointments, find housing, and get food assistance.

There are no copays for covered services. Check your member handbook for a full list of benefits in your plan. For more information, call 888-830-4300 and ask to speak with a care manager.