This report for the Kentucky Department for Medicaid Services fulfills a state mandate that the agency assess various aspects related to Medicaid payment models, federal regulations, and the Area Deprivation Index (ADI). The report offers a range of research-based options that may meet Kentucky’s objectives. It also more broadly discusses programmatic and payment options that many states are using within their Medicaid programs to address unmet social needs and healthcare disparities. The report discusses:

• The national landscape
• A review of federal guidance and regulations
• The ADI analysis 
• Options for consideration

This report was commissioned by the Kentucky Department for Medicaid Services.