cib03042025
To support implementation of coverage of certain services and supports to address “healthrelated social needs” (HRSN) in State Medicaid programs and Children’s Health Insurance
Programs (CHIP), the Center for Medicaid and CHIP Services (CMCS) issued two Center
Informational Bulletins (CIBs). The first, Coverage of Services and Supports to Address
Health-Related Social Needs in Medicaid and the Children’s Health Insurance Program, was
released on November 16, 2023 (November 2023 CIB), and discusses opportunities available
under Medicaid and CHIP to cover certain services and supports that purport to address HRSN.
With the issuance of the November 2023 CIB, CMCS also published a document, Coverage of
Health-Related Social Needs (HRSN) Services in Medicaid and the Children’s Health
Insurance Program (CHIP), which CMS has referred to as the “Framework of Coverage of
HRSN Services in Medicaid and CHIP” or the “HRSN Framework.” The second CIB, released
December 10, 2024, also titled Coverage of Services and Supports to Address Health-Related
Social Needs in Medicaid and the Children’s Health Insurance Program (December 2024
CIB), provided updates and clarifications and superseded both the November 2023 CIB and the
HRSN Framework.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 04, 2025
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