Social Care Networks (SCN)

Social Care Networks (SCNs) support delivery of health-related social needs (HRSNs) services for New York State (NYS) Medicaid members across NYS.

NYS established regional Social Care Networks (SCNs) to address health-related social needs (HRSNs) among NYS Medicaid members, aiming to improve health outcomes and reduce costs.

SCNs act as a coordinated system that connects members to vital services including:

a house, clip board, map, and computer icons

Watch this video to learn how New York State Social Care Networks (SCN) help Medicaid members access free services for housing, food, transportation, and more. SCNs connect you with local non-profits to support your health and wellbeing.


Goals of the SCN Program

  1. Expand access to HRSN services.
  2. Ensure consistent screening using the Accountable Health Communities (AHC) screening tool.
  3. Improve coordination across providers, community organizations and health plans.
  4. Coordinate screening and services using a close-loop referral system and Statewide Health Information Network.

Impact Snapshot

1.5 million+ medicaid memebers have been screened, 3,000+ are connecting members to services, 1,400+ organiprovide various services

SCN Program Authority

SCNs were established through the New York Health Equity Reform 1115 Waiver Demonstration Amendment, approved by the Centers for Medicare & Medicaid Services on January 9, 2024. This initiative funds screening, navigation, and Health Related Social Needs (HRS strengthening partnerships between health providers and community.


Regional SCNs

NYS has established nine regional SCNs serving NYS Medicaid members across the State.

Map of New York
SCN Counties Served Phone number for assistance
Care Compass Collaborative Broome, Chenango, Delaware, Otsego, Tioga, Tompkins 607-352-5264
Forward Leading IPA Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates 315-264-9991
Health Equity Alliance of Long Island Nassau, Suffolk 516-505-4434
Healthy Alliance Foundation Inc. Albany, Columbia, Greene, Rensselaer, Montgomery, Saratoga, Schenectady, Schoharie 518-520-3211
Cortland, Herkimer, Madison, Oneida, Onondaga, Oswego 315-505-2290
Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington 518-656-8312
Hudson Valley Care Coalition, Inc. Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester 914-215-5292
Public Health Solutions Manhattan, Queens, Brooklyn 888-755-5045
Staten Island Performing Provider System Richmond, zip codes 11209, 11219 ,11220, 11228, 11355, 11368, 11373, and 11377 917-830-1140
Somos Healthcare Providers, Inc. Bronx 833-SOMOSNY
(833-766-6769)
Western New York Integrated Care Collaborative Inc. Cattaraugus, Chautauqua, Erie, Niagara 716-431-5100

SCN Lead Entities:

  • build networks of CBOs;
  • coordinate screening and navigation services;
  • support referrals and service delivery;
  • enable secure data exchange;
  • monitor program performance; and
  • establish regional governance structures.

SCN Lead Entities also coordinate with:

  • managed care plans;
  • health care and behavioral health providers;
  • local governments; and
  • child and family service organizations.

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1. Kings (Brooklyn) zip codes: 11209, 11219, 11220, 11228 and Queens zip codes: 11355, 11368, 11373, 11377 1


How NYS Medicaid Members Can Get Connected

NYS Medicaid members can access SCN services by:

  • going to the regional Social Care Network website and filling out the self-screener or calling their direct line
  • speaking with their provider or care manager;
  • contacting their health plan; or
  • asking a community based organization that is participating in the network
Recent News Program Resources
Stay in Touch

For questions regarding the SCN program, contact us at sdh@health.ny.gov

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