In order to achieve its goal of reducing Medicaid costs, the NYS DSRIP program has been encouraging hospital systems, primary care physicians and behavioral health providers to partner with non-profit Community Based Organizations. These agencies, known as “Tier 1 CBOs”, are not Medicaid providers, but they do play a vital role by providing food, housing, transportation and cultural services to Medicaid recipients and the uninsured. The answer regarding these partnerships can be determined by looking at some "lessons learned" from the field.