CHW Leads

Authors: Caroline Nkouaga
Year: 2018
State: NM
Website link:
Publicly Available: Yes
Certification: CHW input in process, CHW role scope of practice, Competencies, Continuing education
Evidence Generation: Documentation of how CHWs can work within care teams, Evidence-based interventions, ROI and bundled payment successes/challenges, Surveys and assessment tools to define and develop workforce
Policy: Legislative language
Sustainable Financing: All, Expand evidence base, How to engage and work with Medicaid, Including community-based CHWs, Marketing/awareness campaigns including national, Billing/CPT codes, MCO or bundled payment reimbursement models, Reimbursement TA for FQHCs Medicaid etc., Documentation of how CHWs can work within care teams, Evidence-based interventions, Results from pilots studies etc. that aren't published in formal literature, ROI and bundled payment successes/challenges
Workforce Development: CHW training programs (not cert.), Data sharing between social services and clinical teams, General other (including mention of “employment practices”), Outreach education and TA to employers on CHW generally

CHW LEADS integrates CHWs into care teams in patient care and community settings to screen for and address the adverse social determinants of health affecting Medicaid recipients. The University of New Mexico Health Sciences Center, Office for Community Health(UNM OCH) will collaborate with the Southwest Center for Health Innovation(SWCHI) and the Human Services Department (HSD)/Medical Assistance Division(MAD)to further develop, evaluate, and disseminate the model for integration of Community Health Workers(CHW)into patient care sites and communities to improve population health out comes and reduce healthcare costs for Medicaid recipients.

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