Health-Related Social Needs (HRSN)
Health-Related Social Needs (HRSN) refer to barriers to health, like housing or access to food. HRSN benefits are not for emergencies. Application to receive benefits may take more than 8 weeks.
Jump to a section on this page:
- Home Changes for Health Support (Climate Devices)
- Housing Services
- Nutrition Services
- Eligibility
- Request Services
- Questions?
Home Changes for Health Support (Formerly Climate Device)
Available now. Receive help to get health-related air conditioners, heaters, air filters, portable power supplies, and mini fridges to store medication.
Housing Services
Available now. Housing-Related supports are available to eligible individuals who are at-risk of losing their current housing. The aim of these services is to support well-being by preventing homelessness, sustaining current housing and supporting tenancy case management services during times of housing insecurity.
HRSN-Covered Benefits
- Rent assistance for up to 6 months including past due months.
- Utilities set up and costs up to 6 months including past due amounts (must be receiving rental assistance to receive utility assistance).
- Tenancy Services (housing case management) for up to 18 months are crucial to support individuals maintain their housing and are offered to members who qualify for any of the other HRSN housing services. Tenancy Services can also be authorized as a stand-alone service.
- Medically-necessary home accessibility modifications and remediation, such as ramp and grab bar installation, pest control, heavy duty cleaning, and hotel costs for members who need temporarily move so that work can be completed in home.
- Storage Fees for members who need to relocate while home modification or remediation is completed.
- Additional benefits may be added in the future.
Eligibility for HRSN Rent Assistance, Utilities Assistance & Tenancy Services
Eligibility for HRSN Home Modification/Remediations
Housing Forms
English
Spanish
Nutrition Services
Food Benefits (available since January 2025). The Nutrition Services below are available to eligible members.
- Medically Tailored Meals (MTM) Assessment – an initial assessment and a reassessment, with a licensed dietician (preferred), or, if not available, a primary care provider, to develop a medically appropriate nutrition care plan specific to HRSN MTM service. This service does not require prior authorization.
- Medically Tailored Meals – provide meals to Members with health-related condition(s) for which nutrition supports would improve health outcomes. The service includes: preparation and provision of the prescribed meals consistent with the nutrition care plan and delivery of meal. To receive meals, Members must first be assessed by RDN or PCP to develop a medically appropriate nutrition care plan. Eligibility criteria for MTM Meals follows the same criteria as MTM Assessment. Meals will delivered to the Member’s home or private residence, which may include shelters that do not provide residents with meals.
- Nutrition Education – any combination of educational strategies designed to motivate and facilitate voluntary adoption of food choices and other food and nutrition-related behaviors conducive to health and well-being. The service can consist of nutrition education or information to an individual or group that offers evidence-based or evidence-informed strategies, and/or meal preparation education. This service can be provided one-time or on a recurring weekly or monthly basis. Eligibility criteria for Nutrition Education follows the same criteria as MTM Assessment. Members eligible for the same service through non-HRSN Medicaid or Medicare/Medicaid are not eligible for the HRSN Service. g.) Members receiving Medical Nutrition Therapy (MNT) through their Medicare benefit are not eligible for this service.
- More information coming soon on Pantry Stocking and Fruit and Vegetable Benefits!
Assessment for Medically Tailored Meals Criteria Eligibility Requirements
Nutrition Forms
Eligibility
You must be an OHP member with a critical health condition, and if you are or recently have experienced one of the following:
- Adults and youth recently incarcerated in the past 12 months.
- Adults and youth discharged from eligible behavioral health facility, residential mental health and substance use disorder facility, or inpatient psychiatric unit in the past 12 months.
- Individuals who are currently involved in or have been previously involved in the Oregon child welfare system.
- Individuals transitioning from Medicaid-only to dual eligibility (Medicaid and Medicare) status within the next three months or past nine months.
- Individuals who are at risk of becoming unhoused.
Each benefit has different requirements such as income, age, your health, and housing situation.
Request Services
You are able to ask to be screened for eligibility or to deny screening for eligibility. If approved, you can choose to receive or not receive HRSN Services. If approved, HRSN Services are free to you and you can opt out at any time.
If you receive HRSN Services, your care coordination team will work with you to make sure your care plan includes the services you receive. See the handbook for Care Coordination and care plans information.
Please note that to be screened for and receive HRSN Services, your personal data may be collected and used during referrals. You have the ability to limit the way in which your information is shared.
The member themselves, an organization or clinic supporting the member, a member’s parent, a caregiver, a guardian/support/trusted friend, case manager or an HRSN Service Provider can request HRSN Benefits.
There are rules you have to meet to qualify for HRSN, details are included in the form.
The YCCO Information Sharing Authorization form must be sent in with your request. Reach out to your Care Management Team for more info on HRSN at 833-257-2191.
Additional Forms
Questions?
Contact Customer Service at 855-722-8205 TTY 711.
OHP Resources
Flexible Services (Formerly Health Related Services)
If you do not meet eligibility criteria for the HRSN benefit, you may qualify support through the flex funding program.
Call Customer Service at 855-722-8205 TTY 711 to learn more.