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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

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Attachment O: Health Related Social Needs (HRSN) Infrastructure Protocol

HRSN Infrastructure. In accordance with the state’s Section 1115 Demonstration and Special Terms and Conditions this protocol provides additional detail on the requirements on infrastructure investments for the Health-Related Social Needs (HRSN) program, as specifically required by STC 27. The state’s HRSN program allows qualifying Medicaid beneficiaries to receive evidence-based clinically-appropriate services. Over the course of the demonstration the state is authorized to spend up to $2,738,299 on infrastructure investments necessary to support the development and implementation of HRSN services for Kentucky’s Recuperative Care Pilot program. This protocol outlines the proposed uses of HRSN infrastructure expenditures, types of entities that will receive funding, intended purposes of funding, projected expenditure amounts and implementation timeline.

HRSN Infrastructure I. Implementation Timeline and Approach a. Timeline for Disbursement of Infrastructure Funding i. The state intends to begin awarding infrastructure funds to eligible entities no sooner than July 1, 2025. The state will utilize a phased approach to disbursing infrastructure funds to ensure providers beginning their participation at different times have sufficient infrastructure and capacity. The state will fund one or all HRSN service categories as needed to support implementation goals. ii. Eligible entities may apply for HRSN infrastructure funding on an ongoing basis, depending on availability of funds. b. Approach to Infrastructure Funding Applications and Disbursements i. The state will conduct the following activities, either directly or via existing contracted fiscal relationships: 1. Design and develop an infrastructure funding process, including application(s). 2. Establish and provide outreach and educational resources to eligible entities regarding available infrastructure funding opportunities. 3. Evaluate applications to ensure they meeting minimum eligibility criteria for entities. 4. Assess funding request budget templates to confirm compliance with established requirements. 5. Grant infrastructure funding to entities that meet eligibility requirements.