Addressing Health-Related Social Needs Under NYHER

Health-related social needs (HRSNs) are social and economic needs that can impact a person’s health and well-being. Examples include lack of stable or affordable housing, lack of access to healthy food, lack of access to transportation, financial strain and/or unemployment, and personal safety.

Social Care Network (SCN) Lead Entities are responsible for coordinating the network for and delivery of HRSN Services.

Which HRSN Services Are Covered by NYHER?

OHIP establishes criteria to determine Medicaid Member eligibility to receive specific, evidence-based HRSN services (e.g., housing supports, nutrition, transportation, care management) reimbursed using Medicaid dollars. These reimbursed HRSN services are referred to as Enhanced HRSN Services. Medicaid Members who have identified HRSNs but do not meet specific eligibility criteria will be navigated to HRSN services delivered by pre-existing state, federal, and local  programs.

Enhanced HRSN services reimbursable under the NYHER 1115 Waiver Program span four categories:

Enhanced HRSN Services are delivered by organizations that contract with an SCN to deliver a specific set of services to qualifying Medicaid Managed Care Members for reimbursement for those services via NYHER. For details on healthy homes support available under NYHER, including Asthma Remediation Enhanced Services, click ici.

What is the Medicaid Member Journey?

The process for a Medicaid Member to access HRSN Services under NYHER begins with a screening to identify health-related social needs (HRSN) using the Accountable Health Communities tool as pictured in the below journey map:

En savoir plus sur les offres de NYHER et de remédiation de l'asthme

Réseaux de soins sociaux (RCS)

Services relatifs aux besoins sociaux liés à la santé (HRSN)

Ressources et formation

Des questions ?

  • Les demandes et/ou les commentaires relatifs à NYHER et aux réseaux de soins sociaux peuvent être envoyés par courrier électronique à l'adresse suivante [email protected]
  • L'American Lung Association est disponible dans le cadre de la NYS Children's Asthma Initiative pour fournir une assistance technique liée aux services HRSN de NYHER pour la remédiation de l'asthme. Pour plus d'informations, utilisez notre formulaire de contact ou envoyer un courriel à la NYSCAI ici.