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  5. Community Health Workers and Promotores in the Future of Medi-Cal: Resource Package #4

Community Health Workers and Promotores in the Future of Medi-Cal: Resource Package #4

Year:
2021
State:
CA
Website Link:
Publicly Available:
Yes
Billing and Reimbursement:
Certification:
Evidence Generation:
Policy:
Building partnerships
Sustainable Financing:​
Engaging state partners in general, General other, How to engage and work with Medicaid, Including community-based CHWs, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models, Reimbursement TA for FQHCs Medicaid etc., ROI and bundled payment successes/challenges
Workforce Development:
CHW training programs (not cert.), General other (including mention of “employment practices”), Outreach education and TA to employers on CHW generally

Summary

This resource provides a framework for MCPs, partners, and CHW/Ps to share perspectives and solutions. It highlights

    • ►  Program design and development considerations
    • ►  Partnership development between MCPs and organizations that employ CHW/Ps, such as providers andCBOs
    • ►  ECM and ILOS roles in coverage and financing for CHW/Ps
    • ►  Estimating financial requirements of a program, based on required program design components, outcomemeasures, and priority populations
    • ►  Assessing community capacity to support CHWs, including local health and social needs, strategic goals ofMCPs based on statewide goals, and core competencies of contracted partners
    • ►  Infrastructure needs related to training, data collection and reporting, capacity to meet metrics, and supporting invoicing and payment requirements
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