Advancing screening, referral, and navigation beyond the AHC model

The Centers for Medicare & Medicaid Services (CMS) held the final virtual Accountable Health Communities (AHC) Meeting, Sustainability Beyond the AHC Model, on November 9 and 10, 2021. This meeting provided a forum for bridge organizations and their partners to discuss strategies for sustaining and scaling social needs screening and for community service referral and navigation beyond the AHC Model Cooperative Agreement period. Attendees included representatives from the 28 bridge organizations and partners, including community service providers, state Medicaid agency representatives, CMS leaders, and CMS contractors. This summary includes highlights and key takeaways from each session.