2023 Cohort

Social Determinants of Health

Medicaid Innovation Collaborative's second cohort seeks to identify scalable solutions to close gaps in social needs for Medicaid beneficiaries in Iowa, Kentucky, and New York.


The Medicaid Innovation Collaborative (MIC) aims to improve the health and wellbeing of individuals on Medicaid by connecting the ecosystem to tech-enabled innovations. The 2023 cohort enables state Medicaid programs, their managed care plans, and other key stakeholders to identify and implement solutions to address the health related social needs of Medicaid beneficiaries. Those selected from the Application Review process will have the opportunity to pitch their solution directly to Medicaid directors, managed care plans, community members, and other stakeholders for potential contract opportunities.

About the 2023 SDOH Focus

Innovative strategies and solutions are needed to successfully address the health-related social needs of Medicaid beneficiaries. As disparities have remained unchanged over decades, solutions must overcome the social, economic, and environmental disadvantages outlined in the research, with the goal of equitable access and outcomes.

Addressing social needs is important for improving health and reducing longstanding inequity in health and health care. The participating MIC states prioritized addressing the challenges associated with social determinants of health. Informed by in-depth research with Medicaid beneficiaries, the MIC process aims to identify and showcase innovative solutions that can demonstrate a positive impact in addressing at least one of the social needs outlined in the Areas of Focus below.

Read the 2023 SDOH Request for Information (RFI)

Research Insights

Addressing health-related social needs in Iowa, Kentucky, and New York requires multiple strategies and approaches to address the variety of challenges faced by Medicaid beneficiaries. In partnership with the three 2023 cohort states, MIC conducted research with Medicaid beneficiaries to inform this process. These insights uncovered that individuals on Medicaid typically have multiple, interrelated social needs, which are risk factors for poor health outcomes. More detail on insights from our research can be found in the report linked below.

2023 SDOH Applicants

MIC has developed a sourcing and selection process that engages state, managed care, and community stakeholders in defining a health equity goal, identifying and assessing vendors that support these goals, and supporting the consideration and implementation of these vendors to ensure these solutions are sticky, scalable, and deliver impact.

Over 100 SDOH solutions applied to MIC's 2023 RFI

Read the full roster of SDOH applicants.

2023 SDOH Showcase Presenters

Showcase presenters were selected from a pool of over 100 applicants, through a robust RFI and selection process that was informed by beneficiaries, managed care organizations, state Medicaid agencies, community organizations, providers, and subject matter experts from across the Medicaid spectrum.​

Presenters were split into two topic areas:

Food Insecurity & Care Navigation

Eight selected solutions that address food insecurity, housing affordability & quality, economic stability through education & employment, and care navigation

Infrastructure & Data Tools

Five selected solutions that address benefits coordination & access, connection & navigation to community services, and transportation services

SDOH Innovation Pilot Program

The Medicaid Innovation Collaborative is pleased to present the 2023-2024 social determinants of health pilot grantees addressing the social needs of Medicaid beneficiaries in Iowa, New York, and Kentucky. The pilots will run from October 2023 through July 2024.


  • FarmboxRx in partnership with Passport by Molina, Dare to Care Foodbank, and Play Cousins Collective
  • Attane Health in partnership with Anthem Blue Cross Blue Shield
  • Samaritan in partnership in partnership with Aetna Better Health and Humana Healthy Horizons


  • Kaizen Health in partnership with Amerigroup, Iowa Total Care, and Molina

New York

  • Staten Island PPS in partnership with Ready Computing, Samaritan, and Healthfirst



New York

Our Partners: States and Health Plans

The following three states and their managed care plans partnered with MIC in this effort.



New York


The New York State Medicaid Department is excited to be partnering with the Medicaid Innovation Collaborative to help us identify innovative solutions to improve the social drivers of health and address health equity. We believe it is essential to address social determinants of health in order to address the health needs of New Yorkers and believe there is an important role innovation will play in meeting these needs.

A doctor holding a smart phone in his hands.
Amir Bassiri
Medicaid Director, Office of Health Insurance Programs, New York State Department of Health