The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in Measurement to Sustain the Profession

Despite progress in documenting the outcomes of Community Health Worker interventions, the lack of standardized measures to assess CHW practice has made it difficult for programs to conduct reliable evaluations, and impossible to aggregate data across programs and regions, impeding commitment to sustainable, long-term financing of CHW programs. In addition, while CHWs have sometimes been […]

Rhode Island State Plan Amendment 21-0012

This document is an approval letter and summary of Rhode Island State Plan Amendment 21-0012. This amendment proposes to add coverage of certified community health worker (CHW) services who provide health promotion and coaching; health education and training; health system navigation and resource coordination services; and care planning.

CHW Reimbursement Model: South Dakota

This presentation outlines South Dakota’s model for reimbursing CHWs, including South Dakota Medicaid’s definition of CHW scope of services, reimbursement rates, training programs, an overview of South Dakota’s Community Health Worker Collaborative, South Dakota’s CHW Planning and Assessment Toolkit, and planned next steps.

Establishing a health profession: What oncology patient navigators can learn from the National Association of Community Health Workers

Persons who identify as community health workers (CHWs) may hold other titles and/or certifications, including the title of patient navigator (PN). PN roles first emerged from Dr. Harold Freeman’s initiative at Harlem Hospital as a strategy to reduce disparities in access to health care, whereas CHW roles extend beyond health systems and are predominantly found […]

Community Health Worker Services

This document on South Dakota Medicaid Billing and Policy outlines various elements of the CHW reimbursement process, including the eligible providers, eligible recipients, covered services and limits, approved curriculums, and reimbursement and claim instructions.

Nevada State Plan Amendment 21-0012

This amendment proposes to add doulas, community health workers, and registered pharmacists with corresponding reimbursement methodologies to the Medicaid state plan.