Medicaid Managed Care for Foster Care Members

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Medicaid Managed Care for Foster Care Members


As of July 1, 2021, you may be responsible for providing and/or coordinating trauma-informed care for a new group of Medicaid Managed Care (MMC) members: children/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies (VFCAs) in New York City.

Upon placement into foster care, a child/youth is required to have an Initial Medical Assessment within the first 30 days of the child/youth’s placement. The child/youth may use any primary care provider (PCP) or qualified practitioner in the EmblemHealth network for the purposes of this Initial Medical Assessment. For primary care visits, if there is a discrepancy with the assigned PCP on the card, immediately call EmblemHealth at 855-283-2146.

The MMC benefit package includes article 29-I VFCA health facility services for eligible children and youth, as well as pharmacy benefits. For full details and guidance documents, see Medicaid Managed Care for Foster Care Members.

Provider Update