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MedicaidAdministrativeMedium impact

PCP Teams May See Foster Care Members

EmblemHealth·NY · Family Medicine, General Practice, Internal Medicine +1 more·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth now allows any PCP within a practice team to provide care to Medicaid foster care members, even if they are not the assigned PCP on the member's ID card. This expands care access for foster children when their assigned PCP is unavailable.

Action Required

Action needed
Immediately: Front desk staff should verify foster care member eligibility and inform providers that any PCP in the practice can see these patients regardless of assigned PCP on ID card. Update scheduling protocols to allow foster care appointments with available PCPs. Billing team should ensure proper Medicaid billing for all PCP team members treating foster care members.