to preserve and improve individual and public health. (ii) Services to address social determinants of health Services to address social determinants of health, including the following: (I) Assessment of individual and community needs and communicating identified needs to public health, health care, and social service agencies. (II) Provision of outreach and education regarding health insurance, and other health and social service systems. (III) Provision of education, assessment of needs, and social support through home visiting. (IV) Provision of case management (as defined in section 1915(g)(2)) and linkage to resources to alleviate financial strain, including food, housing, child services, technology, educational services, employment services, and other services. (V) Identification of underserved populations and referring them to appropriate health care agencies and community-based programs and organizations in order to increase access to quality health and social services and to streamline care, including serving as a liaison between individuals and communities and health and social service organizations. (C) Applicable provider For purposes of subparagraphs (A)(ii) and (B)(i)(III), the term applicable provider means— (i) a physician (as defined in section 1861(r))