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Pennsylvania Keystones of Health Section 1115 Demonstration Approval Period: December 26, 2024 through December 31, 2029 Page 5 of 90 Additional attachments have been included to provide supplementary information and guidance for specific STCs.
Attachment A: Developing the Evaluation Attachment B: Preparing the Interim and Summative Evaluation Reports Attachment C: Reserved for Reentry Demonstration Initiative Implementation Plan Attachment D: Reserved for Reentry Demonstration Initiative Reinvestment Plan Attachment E: Reserved for HRSN Implementation Plan Attachment F: Reserved for Assessment of Beneficiary Eligibility and Needs, Infrastructure Planning, and Provider Qualifications for HRSN Services Protocol Attachment G: HRSN Services Matrix Attachment H: Reentry Demonstration Initiative Services Attachment I: Reentry Demonstration Initiative Health-Related Criteria Attachment J: Reserved for HRSN-Related Provider Payment Increase Attestation Table Attachment K: Reserved for Monitoring Protocol Attachment L: Reserved for Evaluation Design
2. PROGRAM DESCRIPTION AND OBJECTIVES In 2024, the state submitted the Keystones of Health section 1115 demonstration application. The application proposed demonstration programs to improve health outcomes for beneficiaries reentering society from correctional facilities, beneficiaries facing food insecurity and diet-sensitive conditions, and beneficiaries without stable housing.
During the demonstration period, the state seeks to achieve the following goals:
1. Expand support services to populations who face barriers to health care due to their social circumstances. 2. Improve coordination and integration of physical, behavioral, and social services for beneficiaries who have complex health and social needs. 3. Enhance quality and efficiency of care delivery by addressing the root causes of poor health outcomes. 4. Promote health equity and reduce health disparities by targeting services and supports to beneficiaries who experience higher rates of morbidity and mortality due to their social risk factors.
3. GENERAL PROGRAM REQUIREMENTS 3.1. Compliance with Federal Non-Discrimination Statutes. The state must comply with all applicable federal statutes relating to non-discrimination. These include, but are not limited to, the Americans with Disabilities Act of 1990 (ADA), Title VI of the Civil Rights Act of 1964,