MedicaidAdministrativeMedium impact
Medicaid Managed Care for Foster Care Members
EmblemHealth·Pediatrics, Family Medicine, General Practice +1 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth network providers are now responsible for providing and coordinating trauma-informed care for Medicaid Managed Care children and youth in foster care, including those in direct placement and Voluntary Foster Care Agencies. This affects care coordination, medical assessments, and treatment authorization processes for this patient population.
Action Required
Immediately: Review EmblemHealth's foster care member guidelines for trauma-informed care requirements, fiscal responsibility, consent procedures, and Initial Medical Assessment protocols. Billing team should verify authorization processes for foster care members and update workflows for primary care, vision, and orthodontic treatment coordination. Access the full policy at the provided URL for specific documentation and billing requirements.