Additional Guidance On Use Of In Lieu Of Services Or Settings In Medicaid Managed Care

On January 4, 2023, the Centers for Medicare & Medicaid Services (CMS) published this document including additional guidance on the use of in-lieu of services or settings (ILOS) in Medicaid Managed Care. This guidance addresses an innovative option that states may consider employing in Medicaid managed care programs to reduce health disparities and address unmet health-related social needs (HRSNs), such as housing instability and nutrition insecurity, using an ILOS service or setting that is provided to an enrollee which is covered under the state plan . . .