Reimbursement Strategies for Employers of Community Health Workers
This is a presentation from KC Regional Community Health Worker Collaborative about reimbursement strategies for employers of CHWs.
Kentucky House Bill 525: An Act relating to community health workers – Edited Draft
This is an edited draft of Kentucky House Bill 525, which calls for the Kentucky House to create a new section of KRS Chapter 205 to require Medicaid reimbursement for certain services provided by certified community health workers; create new sections of KRS Chapter 309 to establish community health worker certification; amend KRS 205.6497 to […]
State Medicaid Approaches to Doula Service Benefits
Maternal mortality rates continue to increase in the United States, with significant racial, ethnic, and socioeconomic disparities in birth outcomes. States are using a variety of approaches to provide doula services within their Medicaid programs to address inequities. Doulas provide continuous physical, emotional, and information support to people before, during, and shortly after child birth. […]
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 […]
MACStats: Medicaid and CHIP Data Book
This 2020 edition of the MACStats: Medicaid and CHIP Data Book presents the most current data available on Medicaid and the State Children’s Health Insurance Program (CHIP), two programs that provide a safety net for low-income populations who otherwise would not have access to health care coverage and that cover services other payers often do […]
The MassHealth Proposed Demonstration Extension 2022-2027: Building on Success, Focusing on Equity
MassHealth is Massachusetts’ combined Medicaid program and Children’s Health Insurance Program (CHIP), providing coverage to more than one in four Massachusetts residents. Each state runs its own Medicaid program and those programs must meet certain federal standards unless the state obtains a “demonstration waiver” from the Centers for Medicare and Medicaid Services (CMS), the federal […]
Community Health Workers in Federally Qualified Health Centers and Rural Health Clinics
This document from the Louisiana Department of Health details the CMS approval for reimbursement of services rendered by qualified CHWs in federally qualified health centers and rural health clinics.
Kentucky House Bill 525: An Act relating to community health workers – Final Draft
This is the final draft of Kentucky House Bill 525, which calls for the Kentucky House to create a new section of KRS Chapter 205 to require Medicaid reimbursement for certain services provided by certified community health workers; create new sections of KRS Chapter 309 to establish community health worker certification; amend KRS 205.6497 to […]
Optional Targeted Case Management Services – Basis, Scope, and Purpose
The Consolidated Omnibus Budget Reconciliation Act (P.L. 99-272, COBRA) added §§1915(g)(1)and (g)(2) to the Act. These sections add optional targeted case management services to the list of services that may be provided under Medicaid. Section 1895(c)(3) of the Tax Reform Act of 1986(P.L. 99-514) added case management services to the list of services in §1905 […]
