Learn how the Bridge Program applies to NYCE PPO, Large Group, and ASO plan members in 2026.
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June 15, 2026
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At EmblemHealth, we understand that improving health care outcomes requires more than insurance cards or office visits. It requires trust, presence, partnership, and showing up consistently where people live.
That belief is what helped inspire our Community Diabetes Wellness Program, a model designed to bring prevention, education, screenings, and support directly into neighborhoods. After seeing meaningful impact in the Bronx, we are proud to expand this work across New York City.
This next chapter will provide no-cost screenings, diabetes education, nutrition support, and chronic disease management across more communities, helping New Yorkers access care earlier, stay healthier, and avoid preventable complications. Find details of the program here and share this information with our members.
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.
The EmblemHealth Member Rewards Program gives Medicare Advantage Plan members, including those in a dual-eligible special needs plan (D-SNP), opportunities to be rewarded for taking good care of their health. Members who join the program can earn rewards for getting necessary medical care such as their annual wellness visit, selected preventive screenings, and more. Providers can learn more about this program, including eligible services and how you can support your patients enrolled in the program, on our EmblemHealth Quality Improvement web page.
The New York State Department of Health (NYSDOH) extended the due date for the submission of the Department of Labor’s “Annual Compliance Statement of Wage Parity, Hours, and Expenses” form (LS300) for calendar year 2025.
The new submission deadline is June 15, 2026 , for all the following service types:
- Contracted licensed Certified Home Health Agencies (CHHAs).
- Contracted Licensed Home Care Services Agencies (LHCSAs) and Consumer Directed Personal Assistance Program Fiscal Intermediaries (FIs).
Form LS300 must be submitted via email to EmblemHealth at wageparity@emblemhealth.com.
Note: If you are contracted for more than one of these service types, please submit separate documents for each.
These requirements apply to LHCSAs, FIs, and CHHAs who deliver home care services to EmblemHealth Medicaid, Health and Recovery Plan (HARP), Child Health Plus (CHPlus) members in New York City, Nassau, Suffolk, or Westchester counties. EmblemHealth must certify receipt of these documents from all contracted LHCSAs, CHHAs, and FIs to the NYSDOH by June 30, 2026.
For submissions beginning in 2027 for calendar year 2026, the compliance due dates for CHHAs, LHCSAs, and FIs will be as follows:
- Form LS300 is due to EmblemHealth by June 1 of each year for the previous calendar year.
- Department of Labor Form LS301 and Audited Financial Statements or Agreed Upon Procedures are due to EmblemHealth by October 1 each year for the previous calendar year.
- ·Annual Certification of Compliance with Home Care Worker Wage Parity is due to the Department of Health by December 1 of each year for the current calendar year through the eMedNY provider portal.
EmblemHealth must certify receipt of these documents from all contracted LHCSAs, CHHAs, and FIs to the NYSDOH by December 1 of each year for the current calendar year through the eMedNY provider portal.
If you have questions, please sign in to our secure provider portal and use the Message Center to send your inquiry.
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