Overview
This report provides practical recommendations for integrating community-based organizations (CBOs) into Medicaid initiatives that address non-medical needs. It focuses on how state Medicaid agencies, managed care organizations, health care providers, and CBOs can build effective partnerships that connect Medicaid members with community-based services.
What the Resource Covers
The report draws on early state Medicaid programs that require formal partnerships between health care organizations and CBOs, along with interviews with stakeholders and experts. It identifies key considerations for structuring these relationships, including defining roles and responsibilities, supporting CBO capacity, establishing payment arrangements, addressing data-sharing needs, and creating expectations that recognize differences between health care and community organizations.
Key Takeaways for Implementation
Successful integration of CBOs requires more than requiring health care organizations to establish partnerships. Medicaid programs should consider whether community organizations have the staffing, technology, administrative capacity, and financial resources needed to participate, and design contracting and payment approaches that support sustainable partnerships.
Who May Find This Resource Useful
This resource may be especially useful for state Medicaid agencies, managed care organizations, health systems, and CBOs seeking recommendations for effectively integrating community-based organizations into Medicaid programs that address non-medical needs.
Resource Type: Issue Briefs & Reports.
Topic Areas: Medicaid, community-based organizations, cross-sector partnerships, contracting, financing, program implementation.
Population or Setting: Medicaid programs, health care organizations, and community-based organizations.
Publication Date: April 2023.
Source: Center for Health Care Strategies.
