We would like to remind our EmblemHealth providers that members managed by SOMOS do not need referrals to access specialists. This is true whether the specialist is or is not affiliated with SOMOS. SOMOS-managed members are limited to Medicaid, HARP, Child Health Plus, and Essential Plan.
To see whether a referral is needed for an EmblemHealth member, see our updated video and materials in our “Do I need a referral?” - A Quick Guide and our updated quick reference 2022 Benefit Plans That Do Not Require A Referral.
Both EmblemHealth and ConnectiCare Medicare Advantage Members continue to have their referrals waived during the COVID-19 State of Emergency.
