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Advancing California's Community Health Worker & Promotor Workforce in Medi-Cal

Year:
2021
State:
CA
Website Link:
Publicly Available:
Yes
Billing and Reimbursement:
Certification:
CHW role scope of practice
Evidence Generation:
ROI and bundled payment successes/challenges
Policy:
Lessons learned from other states, MCO contract language and reimbursement models
Sustainable Financing:​
How to engage and work with Medicaid, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Reimbursement TA for FQHCs Medicaid etc., Documentation of how CHWs can work within care teams
Workforce Development:

Summary

This Resource Guide is designed to support Medi-Cal MCPs in effectively integrating this valuable workforce into their programs. Beyond, MCPs, this Resource Guide can also inform organizations that employ CHW/Ps and contract with MCPs, such as Federally Qualified Health Centers, community-based organizations, and other health and social service organizations. The Resource Guide was developed through the California Health Care Foundation’s Community Health Workers & Promotores in the Future of Medi-Cal project. This project engaged stakeholders with a deep knowledge of the field to inform a series of four resource packages that support the integration of CHW/Ps into programs for Medi-Cal members. This guide synthesizes information gathered during the project and addresses the following core topics: Developing and financing CHW/P Programs and partnerships, establishing roles and recruiting CHW/Ps, Training and Supporting CHW/Ps, and Engaging CHW/Ps in Data Collection and Program Outcome Measurement. This guide also provides practical resources to help MCPs consider the activities involved in establishing CHW/P programs and partnering with key stakeholders to effectively design and launch programs, including a Design Checklist, which details a high-level, step-by-step description of key activities, along with quick access to the relevant sections. It also includes curated Resources and Tools and Appendices that can be used to support program design and implementation.