RNYC

RNYC

Social Care Network — Intake

meals@carelinkhomecareny.com

Refer a member

You're submitting on behalf of RNYC. An SCN agent will review and reach out within 2 business days.

Adding to existing household
Household code . The member(s) you enter in Section 1 below will join the same household on save.
Already in household:
1

Main applicant

The person this referral is for. Add other household members in the section below the screening.

+

Household members

Anyone else in the household being enrolled. Each becomes their own referral and answers a short screening.

No additional household members added yet.

Each member becomes its own SCN referral (own MA ID, own screening, own eligibility) — they share an address and household ID.

Counts everyone living here, even those not being enrolled.

Screening questions

Answered once for the main applicant / household.

2

Contact

Phone, email, and full mailing address

Auto-formats as you type

Tick at least one language

✓ Address validated via Mapbox

⚠ Not validated — pick a Mapbox suggestion for the most reliable duplicate-detection.

Looking up…

Enter manually — not part of validation.

3

Presenting need

What categories does this member need help with? AHC screening will refine these.

5

Source

Where did this referral come from?

Referring organization
RNYC

Source is locked for this intake.

Additional intake questions

A few more questions to complete the referral.

Notes

Anything else we should know? (optional)