Medicaid and Medicaid HARP

The following updates have been made to your CDPHP Medicaid plan:

Chronic Disease Self-Management Program (CDSMP) for Arthritis

If you’ve been diagnosed with arthritis and are interested in learning more about self-management related to this disease, Capital District Physicians’ Health Plan, Inc. (CDPHP^®) covers services that may help.

Starting June 1, 2025, Capital District Physicians’ Health Plan, Inc. (CDPHP^®) will cover the Chronic Disease Self-Management Program (CDSMP) for adults aged 18 years and older, which aims to increase confidence, physical and mental well-being, and knowledge to manage long term conditions.

This program may help prevent you from:

• going to the emergency room;

• being admitted into the hospital; and/or

• needing other medical care for your arthritis.

Each CDSMP series meets 2.5 hours once per week, for a total of six weeks.

Eligibility

You may be eligible for CDSMP for arthritis services if you have a recommendation by a physician, or other licensed practitioner, and are:

• At least 18 years old; and

• Diagnosed with arthritis.

Talk to your provider to see if you qualify to take part in the CDSMP for arthritis.

To learn more about these services, please call Member Services at
1-800-388-2994. TDD/TTY: 711.

Social Care Network Benefit

Starting January 1, 2025, you can connect to organizations in your community that provide services to help with housing, food, transportation, and care management at no cost to you, through a regional Social Care Network (SCN).

• Through this SCN, all Medicaid members can meet with a Social Care Navigator who can check your eligibility for services that can help with your health and well-being. They will ask you questions to see where you might need some extra support.

• If you or your child qualifies for services, the Social Care Navigator can work with you to get the support you need. You may qualify for more than one service, depending on your situation. These services include:

  • Housing and utilities support:

    • Installing home modifications like ramps, handrails, grab bars to make your home accessible and safe.

    • Repairing and fixing water leaks to prevent mold from growing in your home.

    • Sealing holes and cracks to prevent pests from entering your home.

    • Providing an air conditioner, heater, humidifier, or dehumidifier to help improve ventilation in your home.

    • Helping you find and apply for safe and stable housing in the community.

  • Nutrition support:

    • Getting help from a nutrition expert who will give you guidance and support in choosing healthy foods to meet your health needs and goals.

    • Getting prepared meals, fresh produce, or grocery items delivered to your home for up to six (6) months. These food items will be tailored to your specific health needs.

    • Providing cooking supplies like pots, pans, microwave, refrigerator, and utensils to prepare meals.

  • Transportation services:

    • Helping you with access to public or private transportation to places approved by the SCN such as: going to a job interview, parenting classes, housing court to prevent eviction, local farmers’ markets, and city or state department offices to obtain important documents.

  • Care management services:

    • Getting help with finding a job or job training program, applying for public benefits, managing your finances, and more.

    • Getting connected to services like childcare, counseling, crisis intervention, health homes program, and more.

If you are interested, please call member services at 1-800-388-2994 (TDD/TTY: 711) and we will connect you to a SCN in your area. The Social Care Navigator will verify your eligibility, tell you more about these services, and help you get connected to them.