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?

Counties	SCN Lead Entities	Find Services: Self-Assessment Screeners
Cattaraugus, Chautauqua, Erie, Niagara	Western New York Integrated Care Collaborative Inc.	Western New York Integrated Care Collaborative Inc. Member Referral
Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates	Forward Leading IPA	Forward Leading IPA Member Referral
Broome, Chenango, Delaware, Otsego, Tioga, Tompkins	Care Compass Collaborative	Care Compass Collaborative Member Referral
Albany, Columbia, Greene, Rensselaer, Montgomery, Saratoga, Schenectady, Schoharie	Healthy Alliance Foundation, Inc.	Healthy Alliance Foundation, Inc. Member Referral
Cortland, Herkimer, Madison, Oneida, Onondaga, Oswego	Healthy Alliance Foundation, Inc.	Healthy Alliance Foundation, Inc. Member Referral
Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington	Healthy Alliance Foundation, Inc.	Healthy Alliance Foundation, Inc. Member Referral
Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester	Hudson Valley Care Coalition, Inc.	Hudson Valley Care Coalition, Inc. Member Referral
Richmond	Staten Island Performing Provider System	Staten Island Performing Provider System Member Referral
Bronx	Somos Healthcare Providers, Inc.	Somos Healthcare Providers, Inc. Member Referral
Manhattan (4), Queens (5), Brooklyn (6)	Public Health Solutions	Public Health Solutions Member Referral
Nassau, Suffolk	Health Equity Alliance of Long Island	Health Equity Alliance of Long Island Member Referral

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.

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