Help patients connect to essential
food and nutrition, housing, and
other social care services

New York State Medicaid is expanding access to services to address health-related
social needs through Social Care Networks. WeLinkCare by FLIPA is seeking
providers in the Finger Lakes community to join in this effort.
Health care providers are critical in this effort – help connect Medicaid Members to community services that may address their social needs and improve their health and wellbeing.
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Does your organization want to help address health related social care needs in your community? |
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Do you want to join other organizations in making a difference? |
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Are you interested in learning more about how you can do that? |
If your organization is driven to address health-related social care needs and you're looking to collaborate with a network of committed partners, WeLinkCare by FLIPA invites you to join our Finger Lakes Social Care Network (SCN).
Our Social Care Network unites community organizations to pinpoint those in need, link them to suitable resources, and ensure continuous support. Our approach is transparent and sustainable, focusing on enhancing community capacity through direct investment in our partners.
The Social Care Network brings together health care providers, mental health and substance use providers, professionals, care managers, and community organizations to offer extra support when it’s needed. By connecting medical care with everyday resources, we’re here to help Medicaid members people across the Finger Lakes region live healthier, more stable lives.
Our Social Care Network unites community organizations to pinpoint those in need, link them to resources, and ensure continuous support. Our approach is transparent and sustainable, focusing on enhancing community capacity through direct investment in our partners.
We proudly serve Medicaid Members across several counties across the Finger Lakes region including:
- Allegany
- Cayuga
- Chemung
- Genesee
- Livingston
- Monroe
- Ontario
- Orleans
- Schuyler
- Seneca
- Steuben
- Wayne
- Wyoming
- Yates


- Home accessibility and safety
modifications - Home remediation service
- Asthma remediation
- Medical Respite
- Rent / temporary housing
- Utility set-up / assistance
- Housing navigation
- Pre-tenancy services
- Community transitional services
- Tenancy sustaining services
- Housing transition services
- Navigation to housing support services
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- Nutritional counseling and
education - Medically tailored meals
- Food prescriptions
- Pantry stocking with fresh produce and
non-perishable groceries - Cooking supplies
- Navigation to food and nutrition services

- Public or private transportation to
access social care services

- Outreach and referrals
- Connection to employment, education, childcare, and interpersonal safety resources in addition to other enhanced HRSN services
What is WeLinkCare?
- WeLinkCare is the name of the Social Care Network in the Finger Lakes region.
- WeLinkCare is supported by Forward Leading IPA (FLIPA) who is NYS’ Social Care Network Lead Entity.
- WeLinkCare is a group of agencies committed and approved to provide Health Related Services Needs (HRSN) services to qualified Medicaid Members.
- WeLinkCare uses the FindHelp website to complete screenings, eligibility assessments, and connect Members to HRSNs.
Who qualifies for enhanced HRSN services?
Medicaid Members in both fee for service (FFS) and Medicaid Managed Care (MMC) can be screened for HRSN and receive navigation support to existing local, state, and federal supports. MMC beneficiaries may qualify for additional, enhanced HRSN services. To qualify for enhanced HRSN services, MMC Members must meet a set of criteria (Figure 6)
How can you join a Social Care Network?
To learn more about becoming a health care provider in a SCN, reach out to the SCN Lead Entity in your service delivery region . If you provide services in more than one region, you may collaborate and/or contract with multiple SCNs if you provide services in more than one region. SCN Lead Entities will also be able to share more detailed operational guidance as you get started, including specific processes for your region and the services you provide to Medicaid Members in New York.
What if I have more questions?
If you have more questions, you can:
- Review the NYS’ Social Care Network page at Social Care Networks
- Email We Link Care at welinkcare@forwardleadingipa.org,
- Call 1-888-808-1845 (WeLinkCare)
- Want to schedule some time with our team to learn more about joining? Click here.
Our Step-by-Step Onboarding to Service Provision:

How We Work
The Social Care Network collaborates with community partners to identify individuals in need, connect them to appropriate resources, and provide ongoing support. We believe in a transparent and sustainable model that focuses on empowering our community by investing directly in capacity building for our partners.
WeLinkCare by FLIPA connects individuals and families to resources in their communities that address social factors affecting their health. The Social Care Network brings organizations and healthcare providers together to deliver integrated care to individuals on Medicaid across the Finger Lakes region.
Interested in joining the network? Please fill out the Expression of Interest Survey.
Stay Informed
Not ready to join but want to stay updated? Sign up for our emails and updates. You'll receive the latest news, insights, and developments from the WeLinkCare Social Care Network directly to your inbox.
Talk to Us
Have questions or need more information? We're here to help! Speak directly with one of our team members to learn more about the benefits of joining our network and how we can support your goals.
Glossary of Key Terms
Health-related social needs (HRSNs):
Social and economic needs that can impact a person's health and well-being. Examples include lack of stable or affordable housing, lack of access to healthy food, lack of access to transportation, financial strain and/or unemployment, and personal safety.
HRSN service providers:
Organizations that provide services to meet individual needs around food, housing, transportation, and other social and/or economic needs. These can include local community-based organizations, non-profit organizations, government entities, health care providers, and private sector entities. In New York State, HRSN Service Providers also refers to entities that contract with a SCN to deliver a specific set of services to qualifying Medicaid Managed Care members and may be reimbursed for those services via the NYHER 1115 Waiver Demonstration.
HRSN care providers:
Organizations that provide health care services to individuals including primary care providers, behavioral health providers, Federally Qualified Health Centers (FQHCs), health homes, health systems / hospital systems, etc. Health care providers will be key ecosystem partners in the SCN program, with an objective of better integration of health care and social care through stakeholder convening and a shared data / IT layer.
Social Care Network:
A network comprised of HRSN service providers, Medicaid managed care organizations (MCOs), health care providers, and other organizations that contract with an SCN Lead Entity and may be reimbursed for
services authorized by the 1115 Waiver.
Enhanced HRSN services:
Services that help meet members' HRSNs, can improve health outcomes, and are reimbursable for qualifying members via SCNs.

Ready to get involved or learn more?
Contact Us
Reach out to us today at welinkcare@forwardleadingipa.org or call
Expression of Interest Survey
Thank you for your interest in joining the WeLinkCare by FLIPA Social Care Network as a provider. By completing the Expression of Interest form, you're taking the first step towards connecting with a community dedicated to delivering comprehensive care and support. This form will help us understand your organization's capabilities and how we can collaboratively enhance the services available to our community. Let's get started on this journey together!