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NYS FAM Research
Resource Guide

Technical Assistance Marketplace   

This website is a Marketplace to find a variety of curated and approved Vendors. The Technical Assistance (TA) Recipient Eligibility Application can be accessed here and is intended to enable entities that meet DHCS eligibility criteria to access TA resources that can help strengthen their capacity to provide high quality Enhanced Care Management (ECM) and Community Supports (CS) services for Medi-Cal members.

California Department of Health Care Services (DHCS). (2025). PATH. https://www.ca-path.com/ta-marketplace

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2025

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CalAIM - Waiver Approval  

This letter discusses the details of the approved state of California's request for a section 1115(a) demonstration five-year extension titled, “California Advancing and Innovating Medi-Cal (CalAIM)” (Project Number 11-W-00193/9) (the “demonstration”), formally known as the “Medi-Cal 2020” demonstration, in accordance with section 1115(a) of the Social Security Act (the Act). "The approval of the “CalAIM” 1115 demonstration is a part of the state’s larger CalAIM initiative, that includes the transition of the Medi-Cal managed care from the demonstration into1915(b) waiver authority."

U.S. Department of Health and Human Services. (2021, December 21). “California Advancing and
Innovating Medi-Cal (CalAIM)” (Project Number 11-W-00193/9) (the “demonstration”)[Approval letter to the Chief Deputy Director]. CMS. https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ca-calaim-ext-appvl-12292021.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2021

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CalAIM 1915(b) - Approval Letter

This letter states that through the 1915(b) CalAIM waiver renewal, CMS and California are partnering to further integrate the Medi-Cal managed care system in order to meet the physical, behavioral, developmental, long-term care, oral health, and health-related social needs of all Medicaid beneficiaries with an integrated, person-centered approach. This waiver will also assist the state in improving health outcomes and advancing health equity for beneficiaries by enabling California to provide an innovative array of new benefits to certain high-need, hard-to-reach “populations of focus.”

U.S. Department of Health and Human Services. (2021, December 29). 1915(b) waiver, CMS control CA 17.R10, entitled
California Advancing & Innovating Medi-Cal (CalAIM)[Approval letter to the Chief Deputy Director]. CMS. https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ca-calaim-ca-17-appvl-ltr.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2021

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CalAIM Initiatives Launch Timeline as of February 2023

This CalAIM Initiatives Launch Timeline is a dynamic document that reflects DHCS’ expected timing of initiative launches across the implementation period for CalAIM and key related initiatives. CalAIM's series of far-reaching initiatives represent broad reforms of Medi-Cal’s programs and systems. The Department of Health Care Services (DHCS) is implementing CalAIM in partnership with Medi-Cal providers, Managed Care Plans (MCPs), Counties, Community-Based Organizations and other stakeholders. These changes will span a multi-year period, with the first reforms already underway effective January 1, 2022 and subsequent reforms to be phased in through 2027.

DHCS. (2023, February). CalAIM Initiatives Launch Timeline as of February 2023. CalAIM. https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-Launch-Timeline-FEB-Update.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2023

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1115 Demonstration State Monitoring & Evaluation Resources   

The tools described here provide CMS’s expectations and guidance to support rigorous evaluation activities. In addition, states and independent evaluators should consult the following additional resources during the various stages of demonstration evaluation and monitoring activities, as appropriate, to ensure alignment with the state’s special terms and conditions and CMS’s expectations.

Centers for Medicare and Medicaid Services. (n.d.). 1115 Demonstration State Monitoring & Evaluation Resources, General Monitoring and Evaluation. https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-demonstration-monitoring-evaluation/1115-demonstration-state-monitoring-evaluation-resources

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

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ECM and Community Supports Quarterly Implementation Monitoring Report Requirements 

This document describes how DHCS monitors the impact of ECM and Community Supports through ongoing stakeholder engagement and a combination of currently available data sources, including Member-level data and demographic data reported by MCPs to DHCS. In addition to monitoring how MCPs and Providers are implementing ECM and Community Supports, DHCS monitors and evaluates outcomes for MCP Members who received ECM and Community Supports through the use of quality measures.

California Department of Health Care Services (DHCS). (2023, April). ECM and Community Supports Quarterly Implementation Monitoring Report Requirements. https://www.dhcs.ca.gov/Documents/MCQMD/Quarterly-Implementation-Monitoring-Report-Guidance.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2023

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The Massachusetts Food is Medicine State Plan 

This document contains The Massachusetts Food is Medicine State Plan, backed by peer-reviewed research, a result of a two-year statewide initiative that explored the need for and access to nutrition interventions in the Commonwealth. The State Plan has brought together hundreds of individuals and organizations from across Massachusetts and beyond, all united by a belief thatFood is Medicine.
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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2019

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SSO Flexible Services Preparation Fund (p. 8)

This is an overview of the Flexible Services Program Flexible Services (FS) is a focused program piloting whether MassHealth Accountable Care Organizations (ACOs) can reduce Total Cost of Care (TCOC) and improve members’ health outcomes by implementing targeted evidence-based programs that address certain eligible members’ Health Related Social Needs (HRSN).

CHLPI. (2019). Flexible Services Program: Guidance Document Companion Guide. [Slides]. MassHealth. https://chlpi.org/wp-content/uploads/2013/12/Flexible-Services-Guidance-Document-Companion-Slides-vF.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2019

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SSO Integration Fund  

This letter is to inform the Assistant Secretary, MassHealth, of the approved request "to extend the demonstration entitled, “MassHealth” (Project Number 11-W-00030/1 and 21-W 00071/1), in accordance with section 1115(a) of the Social Security Act (the Act). "Approval of this request will extend many longstanding demonstration authorities and allow the Commonwealth, through various waiver and expenditure authorities, to test the efficacy of innovative practices aimed at promoting consistently high-quality, evidence-based, coordinated, and integrated care with the combined goals of providing medical assistance and improving the health of the communities and populations served through the demonstration. The extension also will lead to additional populations being served by Medicaid, as well as additional services being furnished to Medicaid beneficiaries."

U.S. Department of Health and Human Services. (2022, September 28). “MassHealth” (Project Number 11-W-00030/1 and 21-W00071/1)[Approval letter to the Assistant Secretary]. CMS. https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ma-masshealth-ca1.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2022

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MA Flexible Services Protocol

This letter informs the Assistant Secretary of the approval from CMS of the "Massachusetts' Flexible Services Protocol for Massachusetts' section 1115 demonstration, entitled MassHealth (Project Number l1-W-00030/l). "The protocol allows the Commonwealth to implement its Flexible Services program" and "operationalizes the expenditure authority the Commonwealth received for Flexible Services from its November 4,20 I 6 demonstration extension approval."

U.S. Department of Health and Human Services. (2018, October 4). Massachusetts' Flexible Services Protocol for Massachusetts' section 1115 demonstration, entitled MassHealth (Project Number l1-W-00030/l)[Approval letter to the Assistant Secretary]. CMS. https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ma/MassHealth/ma-masshealth-flex-srvcs-prtcl-appvl-20181004.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2018

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MassHealth Accountable Care Organization Flexible Services

This web page highlights the Flexible Services Program and ground-breaking new additions to the DSRIP programs and the corresponding services available to members of MassHealth. Services must fall into what's defined as "qualified flexible services expenditures". Services and supports that address health related social needs of members may range from "housing supports to utility assistance and physical activity to nutritional supports".
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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2026

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Evaluation Design Approval

This letter approves the "Massachusetts' evaluation design for its section 1115 demonstration, entitled MassHealth (Project Number 1l-w-00030/1)", and includes a copy of the modified evaluation design document. "The development of this revised EDD has been guided by the Demonstration Special Terms and Conditions (STC), CMS comments on the previous drafts of the EDD, and subsequent communications with CMS. The revised EDD also incorporates feedback from MassHealth stakeholders and advisory groups and guidance from an independent Scientific Advisory Committee (SAC) comprised of national experts in health services research and Medicaid transformation. The revised EDD addresses research questions and hypotheses suggested by CMS in the STCs and incorporates the evaluation design for DSRIP (see Section II)."

U.S. Department of Health and Human Services. (2019, January 3). Massachusetts' evaluation design for its section 1115 demonstration, entitled MassHealth (Project Number 1l-w-00030/1)[Approval letter to the Assistant Secretary]. CMS. https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ma/MassHealth/ma-masshealth-cms-apprvd-eval-desgn-01312019.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2019

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Interim Evaluation Report  

This letter approves the Commonwealth’s Interim Evaluation Report. Some of the findings from the Interim Evaluation Report were: "the demonstration’s effects on access to services and coverage, quality outcomes associated with various demonstration components, improvements in diabetes and high blood pressure management, appropriate use of emergency departments among the ACO population, and timely follow-up after an emergency department visit. Additionally, findings suggest that the demonstration was successful at keeping the uninsurance rate low (around 3 percent), and it exhibited some positive findings for beneficiaries with Substance Use Disorders (SUD)". Overall, "analyses of the impact of various components on demonstration costs all showed that per-member per-month costs for MassHealth beneficiaries were lower than they would have been without the demonstration".

U.S. Department of Health and Human Services. (2022, September 29). STC #98(e) “Interim Evaluation Report” of Massachusetts’ section 1115 demonstration,
“MassHealth” (Project No: 11-W-00030/1)[Approval letter to the Assistant Secretary]. CMS. https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ma-masshealth-cms-approved-interim-eval-rprt.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2022

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CHLPI April 2023 Letter to CMS: Food is Medicine Section 1115 Demonstrations – Implementation Survey and Recommendations 

This letter highlights the efforts of CMS to encourage states to submit Medicaid section 1115 waivers to Pilot Food is Medicine initiatives. It commends CMS commitments to the National Strategy and its efforts to address health-related social needs (HRSN) at a critical time when individuals and families have lost SNAP emergency assistance. This letter serves as a request of continued support of CMS to support states and stakeholders in addressing "nutrition insecurity, chronic illness, and health care costs through Food is Medicine by issuing guidance and providing technical assistance regarding 1115 demonstrations".

The Center for Health Law and Policy Innovation. (2023, April 24). The Center for Health Law and Policy Innovation of Harvard Law School (CHLPI), Food is Medicine
Coalition (FIMC), and National Produce Prescription Collaborative (NPPC) developed survey, distributed by FIMC and NPPC to their members – including FIM provider organizations and other stakeholders – during March 2023.[Letter addressed to the Administrator, Centers for Medicare & Medicaid Services]. Harvard Law School. https://www.healthlawlab.org/wp-content/uploads/2023/04/Letter-to-CMS-re-1115-Waiver-Survey-2023.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2023

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Executive Summary

"While federal law and policy have not yet allowed broad coverage of nutrition interventions in Medicaid, MMC offers important flexibilities to support PRx. Mainstreaming Produce Prescriptions in Medicaid Managed Care provides a roadmap for PRx stakeholders as they navigate these opportunities. It provides information and guidance organized into three sections, each focused on a key step in the process of achieving MMC policy change. This Executive Summary provides a high level overview of each of these sections."

Center for Health Law and Policy Innovation & DC Greens. (2023, June). Mainstreaming Produce Prescriptions in Medicaid Managed Care: A Policy Toolkit and Resource Library - Executive Summary. The Rockefeller Foundation. https://chlpi.org/wp-content/uploads/2023/06/Mainstreaming-Produce-Prescriptions-in-Medicaid-Managed-Care-Exec-Summary.pdf

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Addressing Health-Related Social Needs: Information, Guidance, and Lessons Learned

2023

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