RI Medicaid: Community Health Workers

The Rhode Island Executive Office of Health and Human Services (EOHHS) partners with Gainwell Technologies as its Fiscal Agent to process the state’s Medicaid Program claims, to enroll and train providers, and perform other duties to fulfill State and Federal requirements. EOHHS has the sole responsibility for formatting program policy and procedures. The purpose of […]

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.

Studying Executive Directors and Supervisors Views of Organizational and Policy-Level Challenges Faced by Community Health Workers

Within the United States, there is an absence of a national community health worker (CHW) program. There is substantial regional and state-based variability in the population served by CHWs, their disease focus, and availability of training, supervision, and other supports. This article seeks to respond to the call in the literature to work collaboratively with […]

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.