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 here.

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:

進一步瞭解 NYHER & Asthma 補救服務

社會照護網路 (SCN)

與健康有關的社會需求 (HRSN) 服務

資源與訓練

有問題嗎?

  • 有關 NYHER 和社會關懷網路的詢問和/或回饋,可透過電子郵件寄至 [email protected]
  • 美國肺部協會可透過 NYS 兒童氣喘防治計畫提供與 NYHER 氣喘補救 HRSN 服務相關的技術協助。如需更多資訊,請使用我們的 聯絡表單 或發送電子郵件至 NYSCAI 這裡。.