improvement activities Further, CMS, upon yearly review of the Quality Payment Program, should add quality improvement activities that implement the Culturally and Linguistically Accessible Standards (CLAS) standards as Improvement Activities. 443. Development and testing of disparity reducing delivery and payment models (a) In general The Center for Medicaid and Medicare Innovation (CMMI) will establish a dedicated fund to identify, pilot, evaluate and scale delivery and payment models that target health disparities among racial and ethnic minorities, including models that support high-value non-medical services that address socially-determined barriers to health including: English proficiency, health literacy, case management, transportation and enrollment assistance which will help to reduce disparities and impact the overall cost of care. (b) Pilot programs Pilot and demonstration programs that include partnerships with entities including community based organizations or other non-profit entities to help address socially determined barriers to health and health care will be given priority. (c) Alternatives Require all CMMI funded alternative delivery and payment models to include measures to assess and track their impact on health disparities, using existing measures such as, but not limited to, the National Quality Forum Healthcare Disparities and Cultural Competency Measures, and stratified by race, ethnicity, English proficiency, gender identity, sexual orientation, and disability status. 444. Supporting safety net and community-based providers to compete in value-based payment systems (a) In general All proposed pay for performance and alternative payment models, developed and tested by CMMI, or any other HHS agency should be assessed for potential impact on safety net, community based, and critical access providers, including federally qualified health centers. (b) New models The rollout of new payment models should include training and additional up front resources for community based and safety net