MedicaidCoverageMedium impact
Medicaid Managed Care for Foster Care Members
EmblemHealth·NY · Family Medicine, General Practice, Pediatrics·Provider News
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
EmblemHealth now covers foster care children/youth under Medicaid Managed Care, requiring Initial Medical Assessment within 30 days of placement. Any in-network provider can perform this assessment, and article 29-I VFCA health facility services are included in the benefit package.
Action Required
Immediately: Billing team should verify EmblemHealth network participation for foster care Medicaid members. Front desk staff must call EmblemHealth at 855-283-2146 if there are PCP discrepancies on member cards. Update intake procedures to identify foster care members and ensure Initial Medical Assessment scheduling within 30 days of placement.