Medicaid Transformation programs are revolutionizing the delivery of healthcare. They are increasingly focused on developing data-driven ways to address the complex social needs of their populations while driving value-based care. And while each program is unique, there are common threads of Value-Based Payment innovation driving them all. A comparison of the Staten Island Performing Provider System (SI PPS) and Care Compass Network (CCN) DSRIP programs in New York State provides a great example of this. New York State’s $8.2 billion waiver is the largest in the country and NY has long been a DSRIP leader with both the SI PPS and CCN top performers. SI PPS has a tight geography and urban population while CCN is spread across nine counties in the southern part of the state with a wider geography and more rural population with different challenges. But both programs utilize community needs assessment, similar data assets, and a common technology solution to solve health disparities and build scalable, value-based care transformation programs. This session will analyze what SI PPS and CCN have done to be successful and the shared denominators of success in their clinical, social, and substance abuse disorder/behavioral health transformation initiatives. It will include use cases and updated results from both programs.