CHW Leads

CHW LEADS integrates CHWs into care teams in patient care and community settings to screen for and address the adverse social determinants of health affecting Medicaid recipients. The University of New Mexico Health Sciences Center, Office for Community Health(UNM OCH) will collaborate with the Southwest Center for Health Innovation(SWCHI) and the Human Services Department (HSD)/Medical […]

Using Implementation Science to Promote Integration and Sustainability of Community Health Workers in the HIV Workforce

Community health worker (CHW) interventions are an evidence-based practice adopted by health care settings to increase retention in care and viral suppression for people living with HIV(PLWH) from racial/ethnic minority communities. However, disparate funding, unclear roles vis a vis other care team members, limited training and promotion opportunities, and a lack of standards for wages […]

Medicaid Services Manual Transmittal Letter

Revisions to Medicaid Services Manual (MSM) Chapter 600 – Physician Services are being proposed to add a new provider type (PT), Doulas. This isa result of the passage of Assembly Bill(AB) 256 and Senate Bill (SB) 420 during the 81st Legislative Session. Doula services include education, emotional and physical support during pregnancy, labor, delivery, and […]

Assembly Bill No 191 – An Act relating to Medicaid

Existing Nevada state law requires the Director of the Department of Health and Human Services to develop and the Department to administer a State Plan for Medicaid, which includes a list of specific medical services required to be provided to Medicaid recipients. Existing federal regulations authorize a State Plan for Medicaid to include coverage for […]

MediCal Explained: What Are Alternative Payment Models?

Over the past decade, the Centers for Medicare & Medicaid Services (CMS) has increasingly used health care provider payment reforms that encourage better value in the health care system. These payment reforms are known as alternative payment models (APMs) and are defined as a provider payment method that uses financial incentives for the provision of […]

Understanding Medicaid Section 1115 Waivers: A Primer for State Legislators

While the national health care debate continues, states continue to design and improve their Medicaid programs working within the flexibility allowed under existing federal Medicaid law, using longstanding tools such as Section 1115 waivers to best meet their state’s unique needs. This primer is designed to make that job easier by answering the eight most […]

Medi-Cal Explained: How Health Centers are Paid

CommunityhealthCentersand Federally QualifiedHealth Centers in California are an integral part ofthe delivery system and provide access to care formillions in vulnerable populations. This systemis often referred to as the “safety net.” FederallyQualified Health Centers (FQHCs) are paid for thecare they provide to Medi-Cal enrollees througha complicated structure governed by state andfederal law. This issue brief […]