Social Care Network Survey Question Title * 1. Name of organization Question Title * 2. Please indicate your interest in the Brightpoint Care Social Care Network: I want my organization to join I am undecided I do not want to join Question Title * 3. Name Question Title * 4. Phone Question Title * 5. Email Question Title * 6. Physical Address Question Title * 7. Multiple service delivery locations: please list below Address 1 Address 2 Address 3 Question Title * 8. Website Question Title * 9. Please provide your Federal Employee ID Number (EIN) Question Title * 10. Please select all locations where organization provides service Ulster County Sullivan County Dutchess County Orange County Putnam County Westchester County Rockland County Question Title * 11. Does your organization serve any of the following populations? Pregnant persons/up to 12 months postpartum Post-release criminal justice involved populations with serious chronic conditions, substance use disorder, or chronic Hepatitis C Juvenile justice involved, foster care youth, and those under kinship care Children under the age of 6 Individuals enrolled in a Health Home If yes, please explain in 1-2 sentences, including volume of specified populations where known None of the above Question Title * 12. Service capacity: select all services your organization provides, please see RFA for full description Screening HRSN Case Management Navigation Community Transitional Supports Utility Set up / Assistance Rent/temporary housing for up to 6 months Pre-tenancy and tenancy sustaining services Home remediation Home accessibility and safety modifications Medical respite Nutritional counseling and classes Home Delivered Meal Medically Tailored Meal (MTM) Fruit and vegetable prescription Pantry Stocking Cooking Supplies None of the above Question Title * 13. In what languages does your organization provide services (check all that apply): English Spanish Arabic Bengali Chinese (Mandarin, Cantonese, and other) French German Greek Hebrew Hindi Italian Japanese Korean Persian Portugues Punjabi Russian Tamil Telugu Urdu Other (please specify) Question Title * 14. Please share any other information that would be useful to know about the organization Question Title * 15. Does your organization provide care management services under the Medicaid Health Home program? Skyward Health Hudson Valley Care Coalition Institute for Family Health Other None of the above Question Title * 16. How many Medicaid members did your organization serve in 2023? Next