"Clinical-risk factor" means physiological conditions that increase the likelihood of poor health outcomes.
"Community care hub (CCH)" means one of the nine regional centers managed and operated by one of the nine accountable communities of health (ACH). Each CCH organizes and supports a regional network of community-based organizations providing community-based care coordination and services to address health-related social (HRSN) needs. The medicaid agency contracts with the ACHs to provide the HRSN screening and referral service.
"Health-related social needs (HRSN)" means unmet, adverse social conditions (e.g., housing instability, homelessness, nutrition insecurity) that contribute to a person's poor health and result from underlying social determinants of health (conditions in which people are born, grow, work, and age).
"Social risk factor" means a social condition that negatively impacts a person's health and contributes to poor health outcomes and health inequities.