MedicaidAdministrativeMedium impact
SOMOS Agreement Terminates July 1
EmblemHealth·NY·Provider News
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Summary
Effective July 1, 2026, SOMOS (New York City-based IPA) will terminate its agreement with EmblemHealth, ending network status for Medicaid, HARP, Child Health Plus, and Essential Plan members. Members will receive new ID cards with updated contact information, and ongoing treatments can continue for up to 90 days during transition.
Action Required
By July 1, 2026: Billing team must verify provider network status with EmblemHealth for all SOMOS-affiliated providers. Update patient eligibility verification procedures to check for new member ID cards. For members in ongoing treatment, note 90-day continuation period through September 29, 2026, and extended pregnancy care coverage. Contact EmblemHealth directly for claims processing after July 1, 2026.