Did you hear? SOMOS IPA will no longer be INN with EmblemHealth as of 7/1/26.

What is changing for providers?

• The SOMOS IPA affected by this were notified via email
• The providers that have separate contracts with EmblemHealth either solo or group- will remain INN
• UM will be now performed through EmblemHealth directly
• Claim processing- EmblemHealth
• Plans affected: HARP, Child Health Plus, Essential Plans

What should members expect?

• Pregnant members that received care as of 6/30/26 can still receive the medical care through the whole pregnancy- from SOMOS IPA provider
• Any members that receive continuous care from the SOMOS IPA provider can still receive care for the next 90 days: 7/1/26-9/29/26
• Members will receive new cards with EmblemHealth info
• Member ID #s will not change
• Members currently receiving care management from SOMOS IPA will be transitioned to EmblemHealth case manager
• Member copays, and plans are not affected

Find this type of content useful? Follow my blog for more!

• SOMOS IPA and EmblemHealth to term relationship
• NY State PDN services updates: new forms
• Healthfirst Genertic testing- updated reimbursement policies
• UHC MO community provider appt availability
• Healthfirst Lab Prior auth updated list