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"Bridging the Infrastructure Gap: Laying the Groundwork for Scalable Medicaid Innovation"

Discover how states are laying strong foundations for Medicaid transformation through infrastructure-first strategies that reduce delays, strengthen CBO partnerships, and enable scalable impact.

Across the country, Medicaid programs are increasingly investing in community-based services like housing, food, and transportation to drive better health outcomes. To support these efforts, many states are taking a closer look at the infrastructure behind the work—modernizing systems, streamlining processes, and aligning billing practices—to ensure these innovative programs can thrive and reach the people who need them most.

This white paper explores how infrastructure makes or breaks Medicaid transformation—and how states can build systems that support scalable, sustainable change. With insights from North Carolina’s Healthy Opportunities Pilots (HOP) and other program leaders across the country, you'll learn why infrastructure is the operational engine that aligns stakeholders, accelerates reimbursement, and enables programs to deliver on their promise.

Inside, you’ll discover:

• How infrastructure improvements can accelerate even the most promising pilots
• The role of evolving billing standards in advancing reimbursement for community-based organizations
• What scalable, standards-based systems look like in practice
• How states are leveraging partnerships to streamline reimbursement, strengthen CBO capacity, and measure meaningful outcomes

Download the white paper to see how infrastructure-first thinking can help Medicaid programs unlock long-term ROI and real health outcomes.

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