CMS Issues Social Determinants of Health Guidance 

Situation Report | January 11, 2021

On January 7, the U.S. Centers for Medicare and Medicaid Services (CMS) issued guidance to state health officials addressing social determinants of health in Medicaid and the Children’s Health Insurance Program (CHIP).

The guidance details how state Medicaid and CHIP programs can utilize a variety of delivery approaches, benefits, and reimbursement methodologies to improve beneficiary outcomes, like the movement from volume-based payments to value-based care and other strategies.

While states have flexibility, the guidance focuses on a set of services and supports that states can cover under current law, including housing-related services and supports, non-medical transportation, home-delivered meals, educational services, and employment supports.