Social Care Networks
Social Care Network (SCN) Lead Entities were established to improve integration across health, behavioral health, and social care through health-related social need (HRSN) screening and referral services. The SCNs are required to form partnerships, organize and coordinate a network, pay HRSN service providers, facilitate data-sharing, and establish a leadership team.
What are the SCNs Working to Achieve for NYS Medicaid Members?
- Expand access to high-quality HRSN services
- Enable consistent, timely screening using the Accountable Health Communities (AHC) HRSN Screening Tool and Navigation to HRSN services
- Create shared end-to-end visibility of the Member journey from HRSN Screening and Navigation through delivery of HRSNs services
- Strengthen collaboration between HRSN service providers and other partners in their regional health ecosystem, including providers, care managers, and health plans
Where are the SCNs Located?
| Map Color | Counties | SCN Lead Entities |
|---|---|---|
 | Cattaraugus, Chautauqua, Erie, Niagara | Western New York Integrated Care Collaborative Inc. |
 | Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates | Forward Leading IPA |
 | Broome, Chenango, Delaware, Otsego, Tioga, Tompkins | Care Compass Collaborative |
 | Albany, Columbia, Greene, Rensselaer, Montgomery, Saratoga, Schenectady, Schoharie | Healthy Alliance Foundation, Inc. |
 | Cortland, Herkimer, Madison, Oneida, Onondaga, Oswego | Healthy Alliance Foundation, Inc. |
 | Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington | Healthy Alliance Foundation, Inc. |
 | Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester | Hudson Valley Care Coalition, Inc. |
 | Richmond | Staten Island Performing Provider System |
 | Bronx | Somos Healthcare Providers, Inc. |
 | Manhattan (4), Queens (5), Brooklyn (6) | Public Health Solutions |
 | Nassau, Suffolk | Health Equity Alliance of Long Island |
How will SCNs work with partners under NYHER?
The New York State Department of Health Office of Health Insurance Programs maintains an SCN Operations Manual to provide program, billing, data, and data governance guidance to Social Care Network Lead Entities.
Health Care Providers play a key partnership role with the SCNs. Health care providers can contract with SCNs (and be reimbursed) to screen Medicaid Members for HRSNs, navigate Members for HRSNs, navigate Members to HRSN service providers, and/or deliver enhanced HRSN services to Members. Visit here to learn more.
HRSN Service Providers include community-based organizations and others that provide at least one HRSN service by contracting with one or more SCN Lead Entities and participating in required trainings. Visit here to learn more.
Medicaid Members can find answers to a list of frequently asked questions about Member access to support under the SCNs. Visit here to see frequently asked questions.
Learn More About NYHER & Asthma Remediation Offerings
Social Care Networks (SCNs)
Health-Related Social Needs (HRSN) Services
Resources & Training
Questions?
- Inquiries and/or feedback related to NYHER and the Social Care Networks can be emailed to [email protected]
- The American Lung Association is available through the NYS Children’s Asthma Initiative to provide technical assistance related to NYHER’s Asthma Remediation HRSN Services. For more information, email NYSCAI here.