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
Year: 2021
State: RI
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
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:

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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