Good candidates may have a serious illness, such as:

Cancer
Congestive heart failure
COPD
Kidney disease
Liver disease
Parkinson’s or another serious neurological condition
Alzheimer’s or dementia
Diabetes
Stroke
AIDS
Or other serious pediatric conditions

Plus signs that quality of life or function is declining, such as:

Difficulty with daily activities like bathing, dressing, walking, or moving around
Frequent emergency department use, including 2 or more ER visits in the last 6 months
A recent hospital stay, including 1 or more hospitalizations in the last 12 months
Worsening symptoms, caregiver strain, or increasing need for support at home

Referral Process Step 3: What happens after you refer?

Vynca’s outreach team connects with the patient to determine their interest in the program and completes a screening questionnaire.
If patient is eligible for the program, an in-person assessment is scheduled at the patient’s home.
A Vynca clinician meets with the patient in person and completes a full assessment of symptoms, needs, goals, and care preferences (no prior approval needed for initial assessment).
Assessment results are sent to the patient’s health plan within 5 business days for authorization.
If approved, the patient receives team-based palliative care for up to 6 months, with reassessment every 6 months or sooner if their condition changes.
Vynca’s clinical team will reach out to you, as needed. Please feel free to reach out to the team to collaborate.

Vynca works alongside the patient’s existing doctors and care team.

Community-based palliative care does not replace the patient’s providers, specialists, or current treatments. Vynca extends the reach of community providers and specialists into the home with additional support for patients and families through whole person, interdisciplinary team care.

Patients get help with

Managing pain
 and symptoms

Talking about
future care

Finding helpful
programs in your area

Getting mental
health
or spiritual support

FAQs

01. When should a patient be referred to palliative care?

Patients can benefit from palliative care at any stage of a serious illness and do not need to stop curative treatment.

Does a patient need a terminal diagnosis?

No. Palliative care is available to patients living with serious illness and can be provided alongside ongoing treatment.

Is palliative care covered by New Jersey Medicaid?

Community-Based Palliative Care is available to eligible NJ FamilyCare members as a Medicaid benefit beginning in 2026.

Can patients receive palliative care and continue treatment?

Yes. Home-based palliative care works alongside existing specialists and primary care providers.

Will my primary care provider change?

No. You can keep your current providers. We help you with clinical, behavioral, and social issues between your doctor visits.

How do I sign up?

Please fill out a simple form with some details about you. We will check your health plan coverage and clinical eligibility and then help schedule your first visit.

What happens after I sign up?

We’ll check if you qualify for our program. Once this is a go, we’ll schedule your first visit with a member of our care team. We will ensure you have adequate access to a smartphone, tablet, or computer for virtual visits. We can provide smartphones or tablets and internet access for those who qualify.

Does palliative care require hospice enrollment?

No. Palliative care is separate from hospice and may be provided while patients continue treatment for serious illness.

Can palliative care be provided at home?

Yes. Community-based palliative care services can be delivered in the home and other community settings.

Can I refer myself or a loved one?

Yes. A physician referral is not required. Although, we might need approval from your health plan based on your benefits and coverage. If this is the case, we will let you know.

01. What health plans does Vynca accept?

Medicare Part B
Partnership HealthCare Plan
Regence BlueShield
Regence BlueShield of Idaho
Regence BlueCross BlueShield of Oregon
Regence BlueCross BlueShield of Utah
Blue Shield of California
Alameda Alliance for Health
Contra Costa Health Plan
Santa Clara Family Health Plan
Health Net
Imperial Health Plan
MultiPlan
Asuris Northwest Health

Refer a Patient to Palliative Care:
How It Works with Vynca

Referral Process Step 1: Does This Person Qualify?

Good candidates may have a serious illness, such as:

Plus signs that quality of life or function is declining, such as:

Referral Process Step 2: How to Refer

Referral Process Step 3: What happens after you refer?