Preparing to serve New York Medicaid members Application and onboarding in progress

Food. Housing. Transportation. A place to begin.

When everyday life gets in the way of health, start here.

Food, housing, and transportation can all affect health. Medicaid Care Screening is preparing to help New York Medicaid members notice these needs and understand the right regional path forward.

The exact supplied AHC HRSN form structure is shown as a non-submitting demonstration. Identifying controls are disabled and empty, answers are temporary and not submitted, and our Unite Us connection is pending.

Choose your starting point

What would help you most right now?

Start with the screening preview

See the exact questions used to notice housing, food, transportation, employment, education, and safety concerns. Nothing is saved or sent.

Preview the questions

Explore the help that may be available

Learn what Social Care Network services can include and why a Navigator must verify eligibility before any support is arranged.

Explore services

What help may include

Four parts of social care, explained clearly.

These services may be available to eligible members through an applicable Social Care Network pathway. A screening alone does not authorize any service.

01

Care management

Care navigation

A future Social Care Navigator can explain which navigation path fits a member’s Medicaid coverage and program criteria.

02

Housing

Housing support

Eligible members may be connected to housing-related supports designed around safety, stability, recovery, or a successful transition.

03

Nutrition

Food and nutrition support

Nutrition services may range from education to meals, groceries, food prescriptions, or cooking supplies for eligible members.

04

Transportation

Transportation support

A limited transportation pathway may help eligible members reach Enhanced HRSN services or related social-care management activities.

Understanding a possible pathway

Who may qualify

Enhanced HRSN Services are reviewed service by service. A Social Care Navigator completes the official eligibility assessment.

  1. An identified unmet health-related social need.

  2. Enrollment in an eligible Medicaid Managed Care plan.

  3. Membership in at least one Enhanced Population.

  4. Any additional service-specific social-risk, clinical, medical-necessity, documentation, authorization, and nonduplication requirements.

One part of the review

Enhanced Populations

Being in one of these groups is one part of the review. It does not automatically approve a service.

  • Medicaid high utilizers.
  • People enrolled in a New York State-designated Health Home.
  • People with substance use disorder.
Read the full eligibility explanation

Rent and temporary housing

Up to 6 months

Some qualifying Medicaid Managed Care members with an unmet housing need may be authorized for rent, back-rent, or temporary-housing support for up to six months. Additional Enhanced Population, housing-risk, homelessness-risk, clinical, documentation, and program criteria apply. Payment goes to an approved landlord or housing provider, not directly to the member. Approval, amount, duration, and regional availability are determined through the Social Care Network process.

Pregnancy and postpartum nutrition

Up to 12 months postpartum

Qualifying pregnant or postpartum Medicaid Managed Care members with an unmet nutrition need may be authorized for certain meals, food prescriptions, or pantry-stocking support throughout pregnancy and for up to 12 months postpartum. Certain qualifying prepared-meal services may provide up to three meals per day, seven days per week. The exact service, frequency, duration, and availability depend on the official eligibility assessment, service-specific requirements, authorization, current program rules, and regional capacity.

Screening does not determine eligibility or guarantee a service. A website screening identifies possible needs, and a Social Care Navigator performs the official eligibility assessment.

A demonstration of the screening journey

A future path from questions to human help.

When screening becomes available through the applicable program process, a person remains part of every meaningful next step.

  1. 01

    Share what is getting in the way

    Review the exact supplied questions about everyday needs.

  2. 02

    Review possible pathways

    The demonstration is not an eligibility or referral decision.

  3. 03

    Connect with a person

    Our Unite Us connection is pending; no screening or referral is submitted here.

Program status

Honest about where things stand.

In progressHealthy Alliance Capital Region, Central New York, and North Country are in the application and onboarding stage.

Future planningFinger Lakes participation through FLIPA remains a future opportunity; an application has not been submitted for that region.

See how help will work

Planned service area

Regional readiness, clearly stated.

We are planning for a 38-county footprint across 4 New York regions. Use the local lookup below to check geography; it will not determine Medicaid or service eligibility.

View the planned county map

Finger Lakes

FLIPA

14 counties
Future opportunity

Capital Region

Healthy Alliance

8 counties
Application-stage footprint

Central New York

Healthy Alliance

6 counties
Application-stage footprint

North Country

Healthy Alliance

10 counties
Application-stage footprint

Planned geography

Check your planned service area

Explore the proposed 38-county footprint. This check is geography only and does not determine Medicaid eligibility or service eligibility.

All 62 New York counties are shown. Strong colors mark MCS's proposed and future-opportunity geography; subtle colors show the other statewide SCN regions.

MCS proposed geographyOther New York SCN regionsUse the official NYSDOH finder

Choose a county on the map or search by county, ZIP code, or address. This check is geography only and does not determine Medicaid eligibility or service eligibility.

This check is geography only. It does not determine Medicaid eligibility, service eligibility, enrollment, approval, or whether referrals are available.

Non-submitting demonstration

Review the exact AHC HRSN form.

The exact supplied form structure is shown with temporary selections and disabled, empty identifying controls. Answers are not submitted, and the demonstration is not an eligibility or referral decision.

Review the exact form

Questions, answered plainly

What to know about this non-submitting demonstration.

Is screening available now?

This demonstration does not submit a screening or referral. The exact supplied AHC HRSN form structure is shown, and our Unite Us connection is pending.

Who may qualify for Enhanced HRSN Services?

People may qualify when they have an identified unmet health-related social need, are enrolled in an eligible Medicaid Managed Care plan, are in at least one Enhanced Population, and meet any additional service-specific requirements. A Social Care Navigator performs the official eligibility assessment.

What are the Enhanced Populations?

Enhanced Populations include Medicaid high utilizers; people enrolled in a New York State-designated Health Home; people with substance use disorder or serious mental illness; adults or children with an intellectual or developmental disability; pregnant people and people up to 12 months postpartum; certain people up to 90 days after release from incarceration who have a chronic condition; and high-risk children under age 18. Being in one of these groups is one part of the review and does not automatically approve a service.

Do I need Medicaid Managed Care?

Enhanced HRSN Services require enrollment in an eligible Medicaid Managed Care plan, along with the other eligibility and service-specific requirements.

Can Medicaid Fee-for-Service members receive help?

Medicaid Fee-for-Service members and Medicaid Managed Care members who do not qualify for Enhanced HRSN Services may still receive navigation to existing federal, state, local, and community programs.

Does completing the online screener mean I am approved?

No. A website screening identifies possible needs but does not determine eligibility, approve, or authorize a service. A Social Care Navigator performs the official eligibility assessment.

View all FAQs