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Medicaid SDOH Action Plan


Maternal health, behavioral health, family planning, managed care

Year Developed: 2023

Resource Type: Publication.

Primary Audience: C-Suites (CEOs, CFOs, CIOs, CMOs, COOs, etc.); Clinicians; PCAs

Language(s): English

Developed by: National Association of Community Health Centers (See other resources developed by this organization).

Resource Summary: This short document will provide guidance to assist health centers to better serve their patients by highlighting Medicaid reimbursable services that address social drivers of health (SDOH) and guidance to assist health centers in obtaining payment for SDOH-related services.

Resource Details: Federally Qualified Health Centers (FQHCs) participate in the Medicaid program by providing primary care, behavioral health services and dental services integral to the program. As community-based providers serving mostly low- and moderate-income patients, FQHCs understand the effects of social drivers of health (SDOH) on health risks and outcomes. Health centers have first-hand knowledge of the burden SDOH places on clinic users and the communities they serve. This guidance assists health centers to better serve their patients by highlighting Medicaid reimbursable services that address SDOH and distills CMS SDOH guidance to assist health centers in obtaining payment for SDOH-related services

Resource Subtopic: , Social Determinants of Health (SDOH).

Keywords: Access to Care, Non-Clinical Services, Payment and Reform, Policies and Procedures, Screening.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.