Written in partnership with AHCCCS, Arizona MCO Leadership, and Adaptation Health in December 2018.
Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work and age. These dramatically impact an individual’s health outcomes and quality of life. There is growing recognition that the impact of SDOH greatly affects health outcomes and cost of care.
Thus there is a need to ensure that Medicaid enrollees have effective access to SDOH services and supports available in their communities. The Arizona Medicaid system is in need of a solution to improve SDOH risk identification and facilitate beneficiaries' connections to SDOH services.
At a minimum, this solution must include the ability to either identify individual risk factors among Medicaid beneficiaries, create referrals for SDOH services, and/or provide feedback on referral outcomes.
Solutions must meet one or more of the following criteria:
An ability to collect SDOH patient risk, share data with health information systems and/or health information exchanges, and provide actionable intelligence on individual and population data.
Aggregate SDOH service referral options and digital referrals for services.
Referral feedback on the completion of the service to the platform