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CHW Reimbursement Model: South Dakota

Year:
2021
State:
NatDoc: National Document
Website Link:
Publicly Available:
Yes
Billing and Reimbursement:
Certification:
CHW role scope of practice, Competencies, Training and training programs
Evidence Generation:
Policy:
Sustainable Financing:​
How to engage and work with Medicaid, Billing/CPT codes, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Reimbursement TA for FQHCs Medicaid etc.
Workforce Development:
CHW training programs (not cert.)

Summary

This presentation outlines South Dakota’s model for reimbursing CHWs, including South Dakota Medicaid’s definition of CHW scope of services, reimbursement rates, training programs, an overview of South Dakota’s Community Health Worker Collaborative, South Dakota’s CHW Planning and Assessment Toolkit, and planned next steps.

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