CHCS October 10, 2024
Kathryn Jantz, HealthBegins, and Amanda Bank, Center for Health Care Strategies

State Medicaid agencies are increasingly seeking to address Medicaid members’ health-related social needs (HRSN). In November 2023, the Centers for Medicare & Medicaid Services (CMS) released state guidance explicitly outlining allowable HRSN interventions under Medicaid and CHIP authorities (i.e., In Lieu of Services (ILOS)), Home- and Community-Based Services (HCBS), and 1115 waivers). This guidance pre-approves certain interventions related to nutrition and housing. CMS allowable nutrition supports include:

  • Case management for access to food/nutrition;
  • Nutrition counseling and instruction;
  • Home-delivered meals or pantry stocking tailored to health risk and eligibility category;
  • Nutrition prescriptions tailored to health risk or nutrition-sensitive conditions; and
  • Grocery provisions.

Data show nutrition insecurity is the most common social need among Medicaid members. In addition, Medicaid-based nutrition...

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Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicaid, Patient / Consumer, Provider, States
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