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Medicaid Flexibility

Current Medicaid Flexibilities to Address Social Determinants

The Medicaid program provides states with certain flexibilities under current law to address social determinants. Depending on the method used, states can take advantage of certain funding opportunities or use waiver authorities available under section 1905, section 1915, or section 1115, in order to drive innovation in their programs.

The Milbank Memorial Fund, The Reforming States Group, and the NYS Health Foundation funded the development of a comprehensive guide, “Medicaid Coverage of Social Interventions: A Road Map for States,” which helpfully  describes the current opportunities and authorities that states mayuse to incorporate services addressing social determinants into their Medicaid programs