Non-Medicaid Beneficiaries Frequently Asked Questions
What is SOMOS Community Care?
SOMOS Community Care is a network of diverse community-based primary care physicians, specialists, and service providers in the New York City area that speak your language and understand your culture. Our network providers serve more than 650,000 Medicaid beneficiaries.
How do I find a SOMOS doctor that speaks my language?
Use our Provider Directory to find a SOMOS Community Care physician in your area that speaks your language. You can search by name, specialty, and location.
Do SOMOS Community Care doctors accept my insurance?
Once you find a SOMOS Community Care provider, you will have to contact their office directly to verify that they accept your insurance. Their phone number is available through the search results in our Provider Directory.
- NY State of Health, The Official Health Plan Marketplace (855) 355-5777
- Managed Care Organization (MCO)
- Navigators and Certified Application Counselors
- Medicaid Helpline (800) 541-2831
- Local District Social Services Office
If I have an immediate need for Personal Care Services or Consumer Directed Personal Assistance Services, can I get my eligibility for these services processed more quickly?
If you already have Medicaid coverage that does not include coverage for community-based long-term care services, you must send in an a form entitled “Access NY Supplement A” (DOH-4495A)/(DOH-5178A), if needed, a physician’s order for services, and a signed “Attestation of Immediate Need” (OHIP-0103) to your local Department of Social Services.