Coverage of Services and Supports to Address Health-Related Social Needs in Medicaid and the Children’s Health Insurance Program
This guidance discusses opportunities available under Medicaid and the Children’s Health
Insurance Program (CHIP) to cover clinically appropriate and evidence-based services and
supports that address health-related social needs (HRSN). An individual’s HRSN are derived
from a person-specific assessment of social determinants of health (SDOH),
and extensive research has indicated that SDOH and associated HRSN can account for as much as 50 percent
of health outcomes.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 16, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.