Arizona’s Social Determinants of Health (SDOH) Referral System, CommunityCares


Introducing CommunityCares, Arizona’s SDOH Referral System

Heath Current teamed with AHCCCS and, in collaboration with 2-1-1 Arizona, has implemented a single, statewide closed loop referral system, CommunityCares, to address social determinants of health (SDOH) needs in Arizona. This new technology platform is designed to connect healthcare and community service providers to streamline the referral process, foster easier access to vital services and provide confirmation when social services are delivered.

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s state Medicaid agency, launched its Whole Person Care Initiative (WPCI) to focus on the social factors that have an impact on individual health and well-being, such as housing, employment, criminal justice, non-emergency transportation, and home and community-based services interventions. As part of the WPCI strategy, AHCCCS partnered with Health Current to develop a technology solution that can support providers, health plans, community-based organizations (CBOs) and community stakeholders in meeting the healthcare and social-economic needs of Arizonans.

By combining the forces of Health Current, AHCCCS and 2-1-1 Arizona (Solari), and leveraging the combined power of technology and trust, the NowPow platform promises to be a game changer in helping the community better serve the social service needs of all Arizonans.

Contact Andrew Terech, Director, SDOH.

CommunityCares News & Info
Want to receive news and information about Arizona’s SDOH referral system? Interested in adopting the technology when it becomes available? Then please let us know!

SDOH System Roadshow Information Series

SDOH System Roadshow Video Presentation

For a copy of the slide presentation from the Roadshow, click here.
SDOH System Roadshow for CBOs

SDOH System Roadshow for CBOs Session Video.

For a copy of the slide presentation from the CBOs Roadshow, click here.

SDOH System In-depth Demos
In early May, we hosted two deep-dive demonstrations of the new social determinants of health (SDOH) system, in conjunction with NowPow, to further explore the functionality this technology platform provides and how the  features can be used.

Watch the video of an in-depth demo of the SDOH closed loop referral system:

Health Current & AHCCSS SDOH Presentation
We invite you to watch the video archive of AHCCCS Director Jami Snyder’s presentation on the role of the SDOH in the state’s Whole Person Care Initiative, delivered at ACHIEVE 2020, the Health Current Annual Summit & Trade Show, held virtually Oct 13-14, 2020.

What are Social Determinants of Health?
Social determinants of health (SDOH) are the conditions in the environments where people are born, grow, live, learn, work, play and age that affect a wide range of health, well-being, functioning, and quality-of-life outcomes and risks.

Resources that enhance quality of life can have a significant influence on population health outcomes. Examples of such resources include safe and affordable housing, access to education, public safety, availability of healthy foods, local emergency and health services and environments free of life-threatening toxins.

SDOH Workgroup Members
  • A New Leaf
  • Arizona Council of Human Services Providers
  • Arizona Healthy Communities
  • Arizona Hospital & Healthcare Association
  • Catholic Community Services Yuma
  • Circle the City
  • CommonSpirit Health
  • Copa Health
  • Dignity Health
  • El Rio
  • First Things First
  • Garcia Family Foundation
  • HonorHealth Desert Mission Food Bank
  • Human Services Campus
  • Magellan Complete Care of Arizona
  • Mercy Care Plans
  • Native American Connections
  • Native Health
  • North Country Healthcare
  • Solari and 2-1-1 Arizona
  • Sonora Quest
  • Southwest Behavioral & Health Services
  • St. Joseph the Worker
  • Sunset Health
  • Tucson Medical Center
  • UMOM New Day Centers
  • United Healthcare
  • Vitalyst Health Foundation
  • West Yavapai Guidance Clinic Campus