Oregon Medicaid Fee-for-Service Reimbursement for Community Health Workers
Authors: Oregon Health Authority
Website link: https://nachw.org/wp-content/uploads/2023/03/Oregon-CHW_Billing-Guide.pdf
Publicly Available: Yes
Certification: CHW role scope of practice, Competencies, Role of state government
Evidence Generation: Documentation of how CHWs can work within care teams
Policy: Legislative language, MCO contract language and reimbursement models
Sustainable Financing: Engaging state partners in general, How to engage and work with Medicaid, Billing/CPT codes, Education to HC orgs on payment options bundled etc., Reimbursement TA for FQHCs Medicaid etc.
The Oregon Health Authority (OHA) encourages Community Health Workers (CHWs)to become eligible to support clients enrolled in the Oregon Health Plan (OHP). This fact sheet explains how CHWs can qualify to serve OHP clients–and be reimbursed for services–through the following process.
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