09/27/2021 Public Notice of Proposed Amendment to Rhode Island Medicaid State Plan: Community Health Worker Services
Authors: State of Rhode Island Executive Office of Health and Human Services
Website link: https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2021-09/21-0012-revised-clean-to-post-092721-notice-to-public_chw-6.29.21.pdf
Publicly Available: Yes
Billing and Reimbursement:
Certification: Administration - certification boards state health departments etc., CHW role scope of practice, General other, State input in process
Policy: General language around CHW WD, General other, MCO contract language and reimbursement models
Sustainable Financing: General other, How to engage and work with Medicaid, Education to HC orgs on payment options bundled etc., Reimbursement TA for FQHCs Medicaid etc.
EOHHS is seeking federal authority to add coverage of community health worker (CHW) services. Certified CHWs will provide health promotion and coaching; health education and training; health system navigation and resource coordination services; and care planning with a member’s interdisciplinary care team. CHW services will be available to Medicaid eligible individuals who have one or more chronic health (including behavioral health) conditions, who are at risk for a chronic health condition, and/or who face barriers meeting their health or health-related social needs.