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  5. 09/27/2021 Public Notice of Proposed Amendment to Rhode Island Medicaid State Plan: Community Health Worker…

09/27/2021 Public Notice of Proposed Amendment to Rhode Island Medicaid State Plan: Community Health Worker Services

Year:
2021
State:
RI
Website Link:
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
Evidence Generation:
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.
Workforce Development:

Summary

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.

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