As Medicaid agencies seek to address individuals’ health-related social needs, program benefits should be tailored to meet the diverse needs of Medicaid members. This includes understanding federal health-related social needs guidance, determining covered services and eligibility, ensuring coordination across state benefit programs, and centering community voice in benefit design.
Food for Thought: Medicaid Nutrition Benefit Design Approaches for Equitable Implementation
Outlines approaches Medicaid policymakers can take when implementing or evolving their nutrition strategies to best fit a range of state priorities and budgets based on insights and examples from states across the country.
Using In Lieu of Services to Address Health-Related Social Needs: Upshots from the Recent Federal Rule
Shares upshots from CMS’ May 2024 final rule that builds on the federal agency’s prior guidance on using managed care in lieu of services to address health-related social needs in Medicaid.
Designing a Health Related Social Needs Strategy in Medicaid: State Considerations
Offers decision points for states defining their approach to addressing health-related social needs with a focus on coverage, accountability, and infrastructure to support partnerships with community-based organizations.
Lessons from the Field: How Health Care and Homeless Service Providers Partner for Action
Highlights themes from partnerships serving people experiencing homelessness, including how to build strong collaboration, ways to refine the business case, the benefit of health plan partners, and the value of community engagement.
Understanding New Federal Guidance on Medicaid Coverage of Health-Related Social Needs Services
Provides answers to questions from Medicaid agencies on what CMS’ November 2023 guidance on addressing health-related social needs through managed care lieu of services, 1915(i) state plans, and 1115 waiver demonstrations.
Meeting the Health and Social Needs of LGBTQ+ Older Adults Through Medicaid
Eplores opportunities to better support LGBTQ+ older adults through Medicaid, and includes unique considerations for California partners to support this population through new initiatives within the state.
Making CalAIM Work for Older Adults Experiencing Homelessness
Describes initiatives in California that can help address homelessness among older adults with disabilities or complex care needs and highlights the challenges and opportunities for improving services and outcomes for this population.
The Intersection of Housing and HealthFunder: Robert Wood Johnson Foundation
Features representatives from Wisconsin and Arizona who share the innovative solutions their Medicaid programs are developing in partnership with the housing sector to tackle homelessness.
Streamlining Data to Better Support Eligible Families: Medicaid and SNAP Data Coordination Case Studies
Highlight innovative strategies in Colorado, North Carolina, and South Dakota to improve data coordination between SNAP and Medicaid agencies with the goal of improving access to services.
Testing One, Two, Three: CMS’ New Demonstration Opportunity to Address Health-Related Social Needs
Shares key takeaways from CMS’ decision to approve 1115 waivers in Arizona, Arkansas, Massachusetts, and Oregon that allow the states to address health-related social needs through Medicaid.
Moving Upstream: How Medicaid in Texas Could Use In Lieu of Services to Address Non-Medical Drivers of Health
Describes how Texas could use managed care in lieu of services to offer non-medical programs related to asthma home remediation, nutrition, and housing-related services and supports.
Enhancing Care for People Experiencing Homelessness: A Ground-Level View of California’s Medicaid Transformation Initiative
Features a conversation on establishing effective partnerships between health plans and housing and homeless service providers seeking to support people experiencing homelessness.