Clear answers for a careful next step.

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.

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.

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.

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

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.

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.

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. Approval, amount, duration, and regional availability are determined through the Social Care Network process.

No. When authorized, payment goes to an approved landlord or housing provider, not directly to the member.

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.

Enhanced HRSN services may be available at no cost to eligible members only after Medicaid, population, need, and service-specific requirements are verified.

You may still receive navigation to existing federal, state, local, and community programs.

No. Geography is only one consideration. Medicaid and service eligibility are determined through program processes.

Contact us by email. info@medicaidcarescreening.com.