Social Care Network Services
Social Care Network Services
Health is affected by more than medical care. Access to nutritious food, stable housing, transportation, utilities, and community support can all affect a person’s health and well-being. Through New York’s Social Care Network program, eligible Medicaid members can be screened for health-related social needs and connected with appropriate resources.
New York’s Social Care Networks coordinate screening, navigation, and qualifying health-related social-need services for Medicaid members. All Medicaid members may receive screening and navigation, while enhanced services require additional eligibility criteria. (New York State Department of Health)
What Is the Social Care Network?
Medicaid health plans
Healthcare providers
Community-based organizations
Social service providers
Local and regional partners
The official program is designed to connect Medicaid members with supports involving food, housing, transportation, and social care management.
How SFF Can Help
Complete health-related social-needs screenings
Identify unmet needs
Explain available support
Connect members with appropriate organizations
Submit and coordinate referrals
Help gather required information
Follow up on service delivery
Connect members with ongoing care management when appropriate
The official program is designed to connect Medicaid members with supports involving food, housing, transportation, and social care management.
Areas Screened
Food and nutrition
Housing stability
Utilities
Transportation
Housing Employment
Education
Interpersonal safety
Other social or community needs
The state screening process evaluates needs involving areas such as housing, food, transportation, employment, education, utilities, and safety. (New York State Department of Health)
Services Members May Be Connected With
Depending on eligibility and regional availability:
- Food and nutrition support
- Medically appropriate food services
- Housing navigation and housing-related support
- Utility resources
- Transportation to qualifying services
- Social care management
- Local, state, and federal assistance programs
- Employment and educational resources
Who Can Receive a Screening?
New York Medicaid members can receive a health-related social-needs screening and navigation to existing community resources.
Enhanced Social Care Network services have additional Medicaid, population, clinical, and social eligibility requirements. Completing a screening does not guarantee approval for a specific service.
This distinction is important because screening and navigation are broadly available to Medicaid members, while enhanced services are limited to members who meet program requirements. (New York State Department of Health)
What Happens After the Screening?
01
An SFF team member reviews the screening.
02
The member’s needs are discussed.
03
Available programs and eligibility are reviewed.
04
Referrals are sent to appropriate providers.
05
SFF follows up and keeps you in the loop.
06
Additional care management may be offered when appropriate.
Documents Members May Need
Medicaid identification information
Photo identification
Household information
Proof of address
Income information
Lease or housing documents
Utility notices
Medical documentation when required
Other documents related to the requested service
Eligibility and service approval are determined according to New York State Social Care Network requirements and the applicable regional Social Care Network. Services are subject to program criteria, documentation, authorization, availability, and non-duplication requirements.