Social Determinants of Health

MCC AZ partners with AHCCCS to support the Whole Person Care Initiative: AHCCCS’ Whole Personal Care Initiative (WPCI), the next system innovation in integrated health care delivery to address social risk factors of health--commonly referred to as Social Determinants of Health (SDOH), which impact a member’s health and well-being. To learn more, visit:

AHCCCS Whole Person Care Initiative
WPCI Resources

MCC AZ supports development of the AHCCCS-Approved Statewide Closed-Loop Referral System (CLRS) and promotes provider network and community-based organization (CBO) utilization of the CLRS to properly refer members to CBOs providing services addressing social risk factors of health. To learn more, visit:

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

MCC AZ encourages usage of SDOH screening tools available through or compatible with CLRS to screen members for social risk factors of health based upon the provider’s business needs. Regardless of the screening tool selected, it must screen for the following social risk factors of health at a minimum:

  1. Homelessness/Housing instability
  2. Transportation Assistance
  3. Employment Instability
  4. Justice/Legal Involvement
  5. Social Isolation/Social Support

To learn more:

National Association of Community Health Centers | PRAPARE
Center for Health Care Strategies | Screening for Social Determinants of Health

MCC AZ promotes the use of SDOH ICD-10 codes on claims to support data collection on the social risk factors of health experienced by AHCCCS members. To learn more, visit:

AHCCCS Social Determinants of Health ICD-10 Code List

MCC AZ promotes the use of web-based tools such as AZ 2-1-1 and FindHelp to assist in referrals and care coordination. To learn more, search here:

MCC AZ Local Resources

For resources on workforce development in regard to programs and practice for Trauma Informed Care, including training, continuing education, and supervision, please contact MCCAZ OIFA or the AzAHP Workforce Alliance.

The Alliance contracts with Relias, Arizona’s Single Learning Management System, to provide a platform for online training and competency development, including for evidenced based approaches to Trauma Informed Care. Learn more:

AzAHP Workforce Alliance

Finally, MCC AZ utilizes social determinants of health screening and resource referrals and coordination through its care management team. For assistance in finding resources or to coordinate with our team, please call us at (800) 424-5891 (TTY/TDD: 711) and ask to speak with a Care Manager. We’re here Monday-Friday 8 a.m. to 6 p.m. local time/MST.