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Program Overview

Family Service of the Chautauqua Region, in partnership with Western NY Integrated Care (WYNICC), is participating in the Social Care Navigation Program through the 1115 NY State Medicaid Waiver. This program offers free screening and navigation services to individuals with Medicaid, regardless of age. Through this program, a Social Care Navigator will complete a screening and eligibility assessment to see if you qualify for services.

What is an HSRN?

HRSN stands for health-related social needs. These are non-medical social needs, like food, housing, or transportation, that can affect a person’s health if left unmet. The program focuses on identifying and addressing these needs. Examples of unmet HRSNs include:

  • Lack of transportation
  • Lack of food
  • Lack of employment
  • Unstable or a lack of housing
  • Housing conditions with issues like pests, mold, and leaks

Services

The eligibility assessment determines if you qualify for either standard (Level 1) or enhanced (Level 2) services.

Standard (Level 1) Services

If you qualify for standard services, a Social Care Navigator will complete the assessment and provide you with a list of resources tailored to your specific needs. This can take up to an hour. If you only qualify for standard services initially, you may be rescreened if a major life event occurs, which could make you eligible for enhanced services. Major life events include things like a significant change in housing or income, a new diagnosis, or a serious injury.

Enhanced (Level 2) Services

Enhanced services include up to six months of case management with a Social Care Navigator. The Navigator will work with you to create a care plan and set goals to address your health-related social needs. Case management can last for up to five hours per month. Some members may receive case management for longer than six months depending on their specific situation.

Through this program, you may be eligible for services such as:

  • Housing modification
  • Housing navigation
  • Food boxes
  • Medically tailored or clinically appropriate meals
  • Non-medical transportation
  • Cooking supplies
     

The program can also connect you with local, state, and federal resources.

Contact Information

To get connected with the program, you can contact Family Service of the Chautauqua Region and ask to speak with a Social Care Navigator.

Email: carenavigator@familyservicechq.org

Phone: 716-488-1971

Andrew Hernandez (Spanish Speaking): EXT. 228

Kaitlin Smith: EXT. 230

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