Community Health Access and Rural Transformation Model: Payment models for the community transformation track
Authors: Centers for Medicare & Medicaid Services
State: NatDoc: National Document
Website link: https://www.medicaid.gov/about-us/messages/101126
Publicly Available: Yes
Billing and Reimbursement:
Sustainable Financing: CMS and CDC engagement from a national level, General other, How to engage and work with Medicaid, Including community-based CHWs, Marketing/awareness campaigns including national, 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
The CHART Model is a voluntary model that will test whether aligned financial incentives, operational & regulatory flexibilities, and robust technical support will help rural providers transform care on a broad scale. Within the CHART Model, the Community Transformation Track aims to drive modernization of rural health delivery systems by providing Lead Organizations with upfront funding and Participant Hospitals with predictable finances through a Capitated Payment Amount (CPA) and operational flexibilities through benefit enhancements and beneficiary engagement incentives. This document provides information on payment policies.