Working with Community Care Hubs to Address Social Drivers of Health: A Playbook for State Medicaid Agencies

Overview

This playbook provides practical guidance for state Medicaid agencies interested in working with Community Care Hubs (CCHs) and networks of community-based organizations (CBOs) to address non-medical needs. It explains how these organizations can help bridge health care and community services and support more coordinated approaches to serving Medicaid members.

What the Resource Covers

The playbook describes the key functions of Community Care Hubs and identifies opportunities for Medicaid agencies to partner with them. It addresses how CCHs can organize networks of CBOs, support relationships between community organizations and health care partners, and help manage the administrative and operational functions needed for cross-sector programs. The resource also provides practical examples, tips, and links to materials from initiatives across the country.

Key Takeaways for Implementation

Community Care Hubs can provide infrastructure that makes it easier for Medicaid agencies, health plans, health care organizations, and multiple CBOs to work together. The playbook emphasizes building sustainable relationships, clearly defining roles, and developing the organizational capacity needed to coordinate services across sectors.

Who May Find This Resource Useful

This resource may be especially useful for state Medicaid agencies, managed care organizations, health systems, and community partners developing cross-sector initiatives that require coordination among multiple health care and community-based organizations.

Resource Type: Tools & Toolkits.

Topic Areas: Medicaid, Community Care Hubs, community-based organizations, cross-sector partnerships, social care integration.

Population or Setting: Medicaid agencies, health care organizations, and community-based service networks.

Publication Date: November 2022.

Source: Manatt Health, Partnership to Align Social Care, and The SCAN Foundation.

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