The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation developed this screening tool. Providers can use the results from the tool to inform patients’ treatment plans and make referrals to community services. The tool is written in plain language.
The core questions ask about these 5 domains:
- Housing instability
- Food insecurity
- Transportation problems
- Utility help needs
- Interpersonal safety
The supplemental questions ask about these 8 domains:
- Financial strain
- Employment
- Family and community support
- Education
- Physical activity
- Substance use
- Mental health
- Disabilities