As of Feb. 1, 2025, EmblemHealth reimburses Homeless Healthcare Providers who deliver primary care services to homeless Medicaid and HARP members, irrespective of the service provider’s status as the assigned Primary Care Provider (PCP).
Homeless Healthcare Providers refers to a licensed medical provider who conducts patient visits with homeless members in a shelter location or outside on the street (unsheltered).
Payment to the provider is conditional upon their being:
- Enrolled in the NYS Medicaid program,
- Contracted and credentialed by EmblemHealth as a PCP or Specialist Provider, and
- Associated with a physical office location.
EmblemHealth will reimburse billable services at the agreed upon contracted PCP rate or the rate EmblemHealth would otherwise be required to pay an in-network PCP.
For more information about Homeless Healthcare Services go to New York State Medicaid Update - December 2024 Volume 40 - Number 13.
JP 68338 5/2025