Medicaid and Public Health Partnership Learning Series: Community Health Workers
State: NatDoc: National Document
Website link: https://www.astho.org/Health-Systems-Transformation/Medicaid-and-Public-Health-Partnerships/Learning-Series/Community-Health-Workers/
Publicly Available: Yes
Billing and Reimbursement:
Certification: CHW role scope of practice, General other, Specialty tracks and supervisor training
Policy: Building partnerships, Identifying policy expertise within state
Sustainable Financing: CMS and CDC engagement from a national level, Engaging state partners in general, General other, How to engage and work with Medicaid, Including community-based CHWs, MCO or bundled payment reimbursement models, Documentation of how CHWs can work within care teams
Workforce Development: CDC input on state-level strategic planning, CHW training programs (not cert.), Data sharing between social services and clinical teams, General other (including mention of “employment practices”)
The following resource provides insights into how Medicaid and state public health agencies may partner to explore using CHWs to deliver preventive services. It also outlines key Medicaid issues that states may need to consider when assessing this option.
It is important to note that this resource focuses exclusively on the state plan amendment option for CHWs to deliver preventive services. Other Medicaid approaches to CHWs are not explored in this document.