Adopting a Community Resource and Referral Platform: Considerations for Texas Medicaid Stakeholders

Authors: Shao-Chee Sim, Episcopal Health Foundation; Anne Smithey, Anna Spencer, and Diana Crumley, Center for Health Care Strategies
Year: 2023
State: TX
Website link:
Publicly Available: Yes
Certification: CHW role scope of practice, Continuing education, Specialty tracks and supervisor training
Evidence Generation: Documentation of how CHWs can work within care teams, Evidence-based interventions
Policy: Building partnerships
Sustainable Financing: How to engage and work with Medicaid, Including community-based CHWs, Documentation of how CHWs can work within care teams
Workforce Development: Data sharing between social services and clinical teams, General other (including mention of “employment practices”), Training- Continuing education

Medicaid programs across the country are working to address the non-medical drivers of health (DOH) and improve outcomes for their members; however, coordination of medical and non-medical services can be challenging. Community resource and referral platforms can support this type of coordination by supporting screening, providing a directory of non-medical services, and facilitating the referral process. Regional projects in Texas that aim to develop Community Information Exchanges (CIE) or CIE-like structures are incorporating community resource and referral platforms to share data across multiple platforms. These projects are in their early stages but show promise to improve care coordination and data usability. This brief shares experiences from Medicaid stakeholders in Texas on using community resource and referral platforms to identify and address non-medical DOH. While geared to a Texas audience, lessons herein can inform activities in other states to better address non-medical needs of Medicaid populations.

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