This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

Toolkit offers guidance for corrections and health care professionals on evidence-based interventions to support the reentry needs of people with behavioral health needs.

Health care organizations can use this toolkit to develop community ambassador/liaison programs — programs that train community members to act as a bridge between communities and the organizations that serve them.

This resource guide outlines the value case for health plans to partner with community-based organizations for social care benefits.

The community care hub model can support facilitating strong partnerships between community-based organizations and health care organizations.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

This toolkit supports organizations to bill for community health workers/promotores interventions.

Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.

Guide offers implementation recommendations for introducing food insecurity screenings in clinical settings, including workflow and staffing considerations.

Housing needs assessment tool can help providers who work with people leaving incarceration to better understand their housing needs and risk of homelessness.

Details implementation guidance for a rural produce prescription program, covering funding and sustainability, partnerships, design, and evaluation.

Guidance and tools for food banks to partner with health care organizations to address food insecurity and improve health outcomes.

Guidance on developing a reentry program to support Native Americans who are reentering communities from jail or prisons.

Actionable guidance for expanding housing options and improving justice- and health-related needs for people with criminal legal system involvement with behavioral health needs.

Tool shares strategies for states to use Medicaid accountable care organization agreements to promote health equity.

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Food banks can use this tool to learn approaches to information-sharing for health care partnerships and interventions.

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

How to implement the new Medicare benefits.