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 million+ medicaid memebers have been screened, 3,000 are connecting members to services, 1,300+ 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
Lead Entities Map Color Counties
Care Compass Collaborative Broome, Chenango, Delaware, Otsego, Tioga, Tompkins
Forward Leading IPA Allegany, Cayuga, Chemung, Genesee, Livingston,Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates
Health Equity Alliance of Long Island Nassau, Suffolk
Healthy Alliance Foundation Inc.
1
 Albany, Columbia, Greene, Rensselaer, Montgomery, Saratoga, Schenectady, Schoharie
2
 Cortland, Herkimer, Madison, Oneida, Onondaga, Oswego
3
 Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington
Hudson Valley Care Coalition, Inc. Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester
Public Health Solutions Kings (Brooklyn), New York (Manhattan), Queens
Staten Island Performing Provider System Richmond (Staten Island)
Select zip codes in Kings (Brooklyn) and Queens in partnership with Public Health Solutions1
Somos Healthcare Providers, Inc. Bronx
Western New York Integrated Care Collaborative Inc. Cattaraugus, Chautauqua, Erie, Niagara

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.

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
Governor Hochul Announces $500 Million for New Social Care Networks Program to Deliver Social Services and Improve Health Outcomes for Millions of Low-Income New Yorkers
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