Integrating Community Health Workers into State and Local Chronic Disease Prevention Efforts: Program and Financing Considerations

Year: 2018
State: WA
Website link:
Publicly Available: Yes
Billing and Reimbursement: General other
Certification: CHW role scope of practice, Competencies
Evidence Generation:
Policy: General language around CHW WD
Sustainable Financing: Engaging state partners in general, Expand evidence base, 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., Documentation of how CHWs can work within care teams, Evidence-based interventions, ROI and bundled payment successes/challenges
Workforce Development: CDC expand CHW work into SDOH, Chronic Disease, General other (including mention of “employment practices”)

This brief: (1) outlines a common definition and roles for CHWs; (2) examines the evidence behind incorporating CHWs into upstream prevention efforts; and (3) discusses financing options available to support CHWs. The brief starts by providing context on Washington’s reform effort and its interest in utilizing CHWs to further these efforts.

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