03/30/2026
🍎 This Nutritional Awareness Month: Harnessing ILOS for Better Health 🍎
Recent research highlights a powerful, flexible policy tool within Medicaid managed care for plans looking to address a major factor of chronic disease: nutrition.
This Health Affairs article outlines research on how states are using ‘In Lieu Of Services and Settings’ (ILOS) authority to innovate care. ILOS allows states to authorize Medicaid managed care plans to cover non-traditional services as medically appropriate and cost-effective substitutes for state plan services.
The study finds that ten states have authorized their managed care plans to use ILOS specifically for food security and nutrition. This includes innovative interventions like :
🟢 Medically tailored meals and groceries
🟢 Healthy food vouchers and produce prescriptions
🟢 Home-delivered meals and food pharmacies
🟢 Nutrition education programs
ILOS are cost-effective, alternative services or settings offered by Medicaid MCOs that substitute for traditional, state-plan-covered services, allowing MCOs to provide better care to individuals with complex health needs.
Learn more: https://ow.ly/4s3r50YAVi7