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🔧 The Accountable Health Communities (AHC) Model Screening Tool

The Accountable Health Communities (AHC) Model Screening Tool

Testing whether systematically identifying and addressing health-related social needs can reduce healthcare costs and utilization.

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Overview

The Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool is a standardized questionnaire developed by the Centers for Medicare & Medicaid Services (CMS). It is designed to be used in clinical settings to identify patient needs across five core domains: housing instability, food insecurity, transportation difficulties, utility help needs, and interpersonal safety. Like PRAPARE, it is a tool/protocol, not a software product, but it has been widely adopted and integrated into many EHRs and SDOH platforms.

✨ Key Features

  • Standardized 10-question screening tool
  • Focus on 5 core domains of social needs
  • Developed and validated by CMS
  • Designed for use with Medicare and Medicaid populations
  • Publicly available

🎯 Key Differentiators

  • Developed and backed by CMS
  • Concise and focused on five core domains
  • Strong validation through the AHC model

Unique Value: Provides a free, validated, and standardized tool from CMS for efficiently screening patients for the most critical health-related social needs.

🎯 Use Cases (3)

Screening Medicare/Medicaid beneficiaries for social needs Standardizing data collection for research and program evaluation Clinical settings participating in value-based care models

✅ Best For

  • Used by dozens of organizations across the country as part of the CMS AHC Model.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • A comprehensive software platform for referral management

🏆 Alternatives

PRAPARE Custom screening tools

Offers a more concise, focused screening tool compared to the more comprehensive PRAPARE protocol, making it potentially faster to administer in busy clinical settings.

💻 Platforms

Paper Integrated into other software

✅ Offline Mode Available

🔌 Integrations

Integrated into EHRs like Epic and Cerner Used by various care coordination platforms

🛟 Support Options

  • ✓ Email Support
  • ✓ Dedicated Support (N/A tier)

🔒 Compliance & Security

✓ HIPAA

💰 Pricing

Contact for pricing
Free Tier Available

Free tier: The screening tool is free for anyone to use.

Visit The Accountable Health Communities (AHC) Model Screening Tool Website →