Social Determinants of Health and Community Based Organizations

Social Determinants of Health (SDH) are defined as the conditions in which people are born, live, grow, work, and age. These conditions can affect a wide range of health risks and outcomes. The five key domains of social determinants of health (SDH) include: economic stability, education, social and community context, health and health care, and, neighborhood and built environment. Integrating health and human services to address SDH can have a significant impact on health outcomes. Under Value Based Payment (VBP), VBP Contractors aim to realize savings while achieving quality outcomes by addressing SDH conditions that drive healthcare cost and poor health outcomes.

The purpose of this page is to act as a resource of information for health systems and community–based organizations in relation to the VBP Roadmap requirements. Starting January 1 2018, all VBP Level 2 and 3 arrangements MUST implement, at a minimum, one Social Determinants of Health (SDH) intervention and contract with at least one Tier 1 community based organization (CBO). Please feel free to email all questions about this requirement to the SDH team at SDH@health.ny.gov. To find out more about the Bureau of Social Determinants of Health, please click here.

New Initiatives

NY Medicaid Population Health Symposium: The NY Medicaid Population Health Symposium will be held November 18–19, 2019. The Symposium will convene up to 800 leaders and stakeholders of New York Medicaid for two days of engaging plenary, breakout, and poster presentations, alongside informal networking. Participants will be pioneers in the transition to Value Based Payment, including DSRIP PPS and their network partners, physical and behavioral healthcare providers, managed care organizations (MCOs), community–based organizations that address social determinants of health, health homes, state agencies, consumer advocates, and public health officials.

Call for Social Determinants of Health Innovations: Bureau of Social Determinants of Health, launched a new initiative to identify innovative ideas that effectively address the Social Determinants of Health (SDH) for Medicaid members across New York State. The intent of this initiative was to solicit input from interested parties across the state and around the country. Submitted innovations were reviewed by a team of healthcare experts identified by DOH. The top 9 innovations were highlighted at a DOH sponsored SDH Innovations Summit in NYC.

Medicaid Redesign Team Supportive Housing: Since 2012, NYS DOH has invested into capital projects, rental subsidy and services targeted to high–utilizers of Medicaid. This link has new and existing supportive housing initiatives funded under MRT including rental subsidies, capital and services for high–utilizers of Medicaid.


SDH/CBO Tool Kit

Value Based Payment (VBP) Resource Library

Effective January 1 2018, all new and existing Value Based Payment (VBP) Level 2 and 3 arrangements must include at least one social determinants of health (SDH) intervention and at least one contract with a Tier 1 Community Based Organization (CBO). This requirement applies to Managed Care Organizations (MCO), Managed Long Term Care (MLTC), and PACE plans with a Level 2 or 3 VBP arrangement. Health plans and VBP contractors have the flexibility to decide on the type of intervention that they implement. The guideline recommends the SDH selection be based on information including but not limited to, SDH screening of individual members, member health goals, the impact of SDH on their health outcomes, as well as an assessment of community needs and resources.

  • This document is the social determinant of health interventions that have been approved by the Department of Health.

NEW!!! Updated CBO Directory and Engagement Survey- The New York State Department of Health (DOH) has released a new statewide Community Based Organization (CBO) directory and engagement survey. The survey has been simplified based on feedback from stakeholders and designed to capture information about CBO service provision for the purpose of making connections with MCOs and VBP contractors. This survey is replacing last year´s CBO Survey and is open to all non–profit, community-based organizations. Information gathered through this new survey will be used to generate a new CBO directory.


Links

Delivery System Reform Incentive Payment (DSRIP) Program

DSRIP Performing Provider Systems (PPS)

Population Health Improvement Program

Medicaid Managed Care Organization Plan Directory

Managed Long-Term Care Plan Directory

VBP University

DRSIP Value Based Payment Resource Library

HEDIS Measures

First 1000 Days on Medicaid Proposals

Provider Contract Guidelines for Article 44 MCOs, IPAs, and ACOs

Community Based Organization (CBO) Planning Grantees– Please contact grantees for available administrative/ support services for CBOs.

Arthur Ashe Institute for Urban Health

Health and Welfare Council of Long Island – Long Island

Health and Welfare Council of Long Island – Hudson Valley

Healthy Community Alliance – Rest of State
For news and updates please sign up for the MRT listserv.
|top of page|