Description: The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) made the Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool to use in the AHC Model. The Tool can help providers find out patients’ needs in these 5 core domains that community services can help with:
• Housing instability
• Food insecurity
• Transportation problems
• Utility help needs
• Interpersonal safety

Keywords: assessment tool; intake; tracking