SOMOS Agreement Terminates July 1

Effective July 1, 2026, SOMOS, a New York City-based independent practice association, will no longer be in-network for EmblemHealth members.  In addition, their management company will no longer perform utilization management (UM), case management (CM), and claims payment services for EmblemHealth Medicaid, Health and Recovery Plan (HARP), Child Health Plus, and Essential Plan members. 

Members will receive a new member ID card before, or shortly after, the transition that includes EmblemHealth UM/CM and claims contact information. The member ID number will not change.

Providers leaving the EmblemHealth network have been notified by mail. Providers who have a contract with EmblemHealth either directly or through another group will remain in-network.  Member copayments and plan design are not affected.

Please note:

• Members currently receiving care management through SOMOS will be transitioned to an EmblemHealth case manager. 
• Members receiving ongoing treatment may be able to continue care with their SOMOS provider for up to 90 days, beginning July 1, 2026, until Sept. 29, 2026. 
• Members who are receiving care for pregnancy as of June 30, 2026, can continue care for the rest of the pregnancy. This includes related care after the pregnancy that is part of the delivery.