Urgent Speciality Care Program

1.203.773.0838

63 York Street, New Haven, CT 06511

URGENT SPECIALTY CARE PROGRAM

Eligibility and Referral Information

All patients receive patient navigation services, including: assistance scheduling and coordinating timely medical appointments, reminders for medical appointments, assistance addressing barriers to care, and support in navigating the healthcare system.

All patients receive free medical care for services related to approved referrals.

All PA-NH patient navigators are bilingual in English and Spanish.

HOW DOES IT WORK?

Step

one

PATIENTS MUST BE REFERRED

Patients must be referred to PA-NH from a healthcare provider. Referred patients are assessed for eligibility and those who qualify meet with a PA-NH Patient Navigator for an intake assessment. Referral forms can be found on our website at www.pa-nh.org.

Step

two

PATIENT NAVIGATOR

Patient Navigators help patients obtain needed services and navigate a complex, confusing, and often intimidating health care system. They also work with patients to remove barriers and ensure access to needed care – for example, by assisting with the coordination of translation or transportation services.

Step

three

FREE CARE IS PROVIDED

Medical care is provided free of charge to patients through the Project Access-New Haven network, which includes Yale New Haven Hospital (YNHH), Yale Medicine (YM), Northeast Medical Group (NEMG), independent medical practices throughout New Haven, and other local healthcare providers and community partners.

Eligibility

Patient Must Be

18 years of age or older

Patient Must Be

A resident of the Greater New Haven Area (Branford, East Haven, Guilford, Hamden, Miilford, New Haven, North Branford, North Haven, Northford, Orange, Wallingford, West Haven, Woodbridge)

Patient Must Be

Uninsured

Patient Must Be

Referred from a healthcare provider for an urgent medical need

Patient Must Be

Below 250% of the Federal Poverty Level

Patient Responsibilities

Patient Must

Patient must maintain regular communication with PA-NH patient navigators

Patient Must

Patient must keep all appointments arranged by PA-NH

Patient Must

Inform PA-NH immediately about changes to insurance status, income, or address

Patient Must

Undergo financial screening every 6 months to re-confirm eligibility

Patient Must

Complete initial and 1 year follow-up interviews

Patient Must

Consider giving back through a testimonial or volunteering

WHO IS ELIGIBLE?

In order to be eligible, individuals must:

Eligibility

one

Urgent (non-chronic) medical condition (i.e., patient needs to be seen within 3 weeks). Note that behavioral health, pain management, and dental care are outside of the PA-NH scope of services.

Eligibility

two

Household income less than or equal to 250% of the Federal Poverty Level (FPL)

Eligibility

three

Living in Greater New Haven; Branford, Milford, Northford, Woodbridge, East Haven, New Haven, Orange, Guilford, North Haven, Wallingford, Hamden, North Branford or West Haven

Eligibility

four

Uninsured

Eligibility

five

Male or female, 18 years of age or older

*Please note: The following services are outside the scope of PA-NH: Behavioral Health Care, Chronic Conditions, Dental and Pain Management

Required Documents

**All patients must provide the following documents

Photo ID

Proof of address in one of the above towns (Two (2) Items)

Proof of household income less than or equal to 250% of the Federal Poverty Level (FPL)

FOR MORE INFORMATION, PLEASE CONTACT US

HOW TO REFER A PATIENT?

Requirement

one

Project Access New Haven referrals must be made by a healthcare provider

Requirement

two

Referrals may be submitted by fax using the PA-NH Referral Form or other referral template OR electronically through Epic (the Yale New Haven Hospital electronic medical record)

Requirement

three

Referrals MUST include relevant past medical history (e.g., imaging, labs, treatment)

With the Support of Sponsors and Community Partners:

PA-NH provides donated medical services to patients of limited insurance status. Patient Navigators assist patients with appointments and navigation of the health care system. Barriers to access are addressed so that physicians can focus on delivering the highest quality care.

BENEFITS FOR PATIENTS

Patient Navigators coordinate medical care and service
Patient Navigators help address issues—such as language and transportation—so that it is easier for patients to obtain care (services available in English & Spanish
Care is provided free of charge (when arranged through PA-NH)
Shorter wait time for appointments

Project-Access-Helping-The-Community-Navigate-healthcare

BENEFITS FOR PHYSICIANS

Volunteers can determine their level of commitment by selecting the number of PA-NH patients they are able to see
Patient care is coordinated and administrative “hassles” are eliminated
Patients have a high show-rate for appointments (96%)
Ancillary services (e.g., diagnostics, inpatient procedures) are available and coordinated by PA-NH
Ability to help those most in need in our community

BENEFITS FOR THE COMMUNITY

Expanded network of care for underserved patients
More efficient and effective use of local health care resources
Reduced unnecessary use of the emergency department
Improved health and reduced health disparities in the community

URGENT SPECIALTY CARE PROGRAM

Eligibility and Referral Information

HOW DOES IT WORK?

Step

one

PATIENTS MUST BE REFERRED

Step

two

PATIENT NAVIGATOR

Step

three

FREE CARE IS PROVIDED

Eligibility

Patient Must Be

Patient Must Be

Patient Must Be

Patient Must Be

Patient Must Be

Patient Responsibilities

Patient Must

Patient Must

Patient Must

Patient Must

Patient Must

Patient Must

WHO IS ELIGIBLE?

In order to be eligible, individuals must:

Eligibility

one

Urgent (non-chronic) medical condition (i.e., patient needs to be seen within 3 weeks). Note that behavioral health, pain management, and dental care are outside of the PA-NH scope of services.

Eligibility

two

Household income less than or equal to 250% of the Federal Poverty Level (FPL)

Eligibility

three

Living in Greater New Haven; Branford, Milford, Northford, Woodbridge, East Haven, New Haven, Orange, Guilford, North Haven, Wallingford, Hamden, North Branford or West Haven

Eligibility

four

Uninsured

Eligibility

five

Male or female, 18 years of age or older

*Please note: The following services are outside the scope of PA-NH: Behavioral Health Care, Chronic Conditions, Dental and Pain Management

Required Documents

**All patients must provide the following documents

HOW TO REFER A PATIENT?

Requirement

one

Project Access New Haven referrals must be made by a healthcare provider

Requirement

two

Referrals may be submitted by fax using the PA-NH Referral Form or other referral template OR electronically through Epic (the Yale New Haven Hospital electronic medical record)

Requirement

three

Referrals MUST include relevant past medical history (e.g., imaging, labs, treatment)

With the Support of Sponsors and Community Partners:

BENEFITS FOR PATIENTS

BENEFITS FOR PHYSICIANS

BENEFITS FOR THE COMMUNITY

Our Community Partners