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Pennsylvania Keystones of Health Section 1115 Demonstration Approval Period: December 26, 2024 through December 31, 2029 Page 85 of 90 Pennsylvania 1115 HRSN Services Matrix: Social Risk Factor Detail Social Risk Factor Social Criteria Detail Low or Very Low Food Security USDA Defined Low or Very Low Food Security: Low food security: Reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake. Very low food security: reports of multiple indications of disrupted eating patterns and reduced food intake. Homeless Derived from paragraph (1) of the definition of homeless in 24 CFR 91.5: Individuals who lack a fixed, regular, and adequate nighttime residence, meaning: • Has a primary nighttime residence that is a public or private place not meant for human habitation, including a car, park, abandoned building, bus or train station, airport, or camping ground; or • Is living in a supervised publicly or privately operated shelter designated to provide temporary living arrangements (including congregate shelters, transitional housing, and hotels or motels paid for by charitable organizations or by federal, state, or local government programs); or • Exiting an institution where individual resided for 90 days or less and who resided in an emergency shelter or place not meant for human habitation immediately before entering that institution. At risk of homelessness An individual who: -Does not have sufficient resources or support networks (e.g., family, friends, faith-based or other social networks) immediately available to prevent them from moving to an emergency shelter or another place described in paragraph (1) of the “Homeless” definition in 24 CFR 91.5; and -Is exiting a correctional facility