The purpose of this State Health Official (SHO) letter is to describe opportunities under
Medicaid and CHIP to better address social determinants of health (SDOH)1
and to support states with designing programs, benefits, and services that can more effectively improve
population health, reduce disability, and lower overall health care costs in the Medicaid and
CHIP programs by addressing SDOH. This letter describes: (1) several overarching principles
that CMS expects states to adhere to within their Medicaid and CHIP programs when offering
services and supports that address SDOH; (2) services and supports that are commonly covered
in Medicaid and CHIP programs to address SDOH; and (3) federal authorities and other
opportunities under Medicaid and CHIP that states can use to address SDOH.



Not Available

Line of Business or Market

CHIP, Medicaid