Medicaid Managed Care Organizations and Community Health Workers (CHWs)

Year:

2019

State:

NatDoc: National Document

Website Link:

Publicly Available:

Yes

Billing and Reimbursement:

Certification:

CHW role scope of practice

Evidence Generation:

Policy:

General other, MCO contract language and reimbursement models

Sustainable Financing:

General other, How to engage and work with Medicaid, Education to HC orgs on payment options bundled etc., MCO or bundled payment reimbursement models

Workforce Development:

Summary

Managed Care Organizations (MCOs) are increasingly engaging community health workers (CHWs) (including workers with other titles under the CHW umbrella such as community health navigator, peer educator, outreach specialist, etc.). MCOs have voluntarily implemented CHW programs in some cases and have been required to do so by state contracts in others. This document is NACHW’s MHPA 2-pager.

Medicaid Managed Care Organizations and Community Health Workers (CHWs)

Summary

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