115 NYHER Waiver Update

Regional Social Care Networks Announced

On August 7, 2024, Governor Hochul announced the nine organizations selected to create Social Care Networks (SCNs) under the New York Health Equity Reform (NYHER) 1115 Waiver Amendment. SCNs will be responsible for coordinating the delivery of Health-Related Social Need (HRSN) services to Medicaid members. SCNs will develop and maintain a comprehensive network of community-based organizations (CBOs) to support the delivery of HRSN screening, navigation and “Enhanced” HRSN services to eligible members. Such services may include housing, transportation, nutrition, and care management. Non-profit developmental disability providers are considered a CBO under this program.

All Medicaid Members are eligible to receive HRSN Screening and Navigation services. People with Intellectual and Developmental Disabilities (IDD) who are enrolled in NYS Mainstream Medicaid Managed Care are among the populations eligible to receive the “Enhanced” HRSN services. Under this 1115 program, the IDD criteria are NOT dependent upon OPWDD eligibility. Approximately 230,000 Medicaid Managed Care members with an IDD have been identified statewide.

The SCNs have access to $500 million in total funding to support SCN start-up and infrastructure costs, including providing resources for capacity building to CBOs. Over $3 billion has been allocated to fund HRSN-enhanced services.

We encourage you to contact your regional Social Care Network at the links below to get connected and learn how you can participate.

For more information, the NYS Department of Health has created a Social Care Network resource page. Please contact your Director of Provider Relations or Kristen Scholl at Kristen.Scholl@ccany.org.

The following organizations were selected as Social Care Networks:

SCN Lead Entity with Website Link Región Counties Served
Care Compass Collaborative Tierras del Sur Broome, Chenango, Delaware, Otsego, Tioga, Tompkins
Finger Lakes IPA Inc Finger Lakes Allegany, Cayuga, Chemung, Genesee, Livingston, Monroe, Ontario, Orleans, Schuyler, Seneca, Steuben, Wayne, Wyoming, Yates
Health and Welfare Council of Long Island Long Island Nassau, Suffolk
Healthy Alliance Foundation Inc. Región de la Capital Albany, Columbia, Greene, Rensselaer, Montgomery, Saratoga, Schenectady, Schoharie
Central NY Cortland, Herkimer, Madison, Oneida, Onondaga, Oswego
Norte del país Clinton, Essex, Franklin, Fulton, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington
Hudson Valley Care Coalition, Inc. Valle de Hudson Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester
Public Health Solutions Nueva York Manhattan, Queens, Brooklyn
Staten Island Performing Provider System Staten Island Richmond
Somos Healthcare Providers, Inc. Bronx Bronx
Western New York Integrated Care Collaborative Inc. Western NY Cattaraugus, Chautauqua, Erie, Niagara