Skip to main content

Referral for Health Care and Supportive Services

Referral for Health Care and Supportive Services

HRSA Service Definition

Referral for Health Care and Support Services directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. This service may include referrals to assist eligible clients to obtain access to other public and private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturer’s Patient Assistance Programs, and other state or local health care and supportive services, or health insurance Marketplace plans).

Program Guidance:

Referrals for Health Care and Support Services provided by outpatient/ambulatory health care providers should be reported under the Outpatient/Ambulatory Health Services category.

Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (i.e., Medical Case Management or Non-Medical Case Management).

Number of Clients Served, Units Provided, Expenditures, Cost per Client and 3 Year averaged Cost per Client (based on actual expenditures)

Year 2015 2016 2017 2018 2019
Referral for Health Care Clients 2,206 2,265 2,208 2,207 2,074
Referral for Health Care Units (hotline call) 2,206 2,265 2,208 4,684 2,293
Referral for Health Care Dollars $545,641 $356,077 $492,713 $437,238 $499,149
Referral for Health Care Allocation $520,329 $512,425 $544,325
Over/ Underspending $27,616 under $75,187 under $45,520 under
Referral for Health Care Clients 222 392 382 73
Referral for Health Care Units (digital ¼ hour*) 1,511 3,576 3,767 802
Referral for Health Care Dollars $63,132 $133,132 $82,290 $80,970 $45,520
Referral for Health Care Allocation $82,241 $81,039 $81,202
Over/ Underspending $49 over $69 under $35,682 under

Funding by Part, and info on any other payers

Total Part A Funds (Formula + Supp.) MAI Total Part B Funds (Formula + Supp. NJ) Total Part B Funds (Formula + Supp. PA) Total Part C EIS Funds (State & Local) Total Part D Funds (State & Local) Total Part F Funds
Last Year Allocation $81,202
$516,669
Current Allocation
$612,108

Consumer survey info 2017 n=392

n Used in the last 12 months Needed but did not get (last 12 months)
Referral for Health Care and Support Services 139 89.2% 10.8%

Unmet need

For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.

2016 MMP Percent with a Need (uninsured) 2018 Client Services Unit Need at Intake
Referral for Health Care and Support Services - -

Recipient Service Considerations

None.