Managed Care in New Mexico
Document provides an overview of Managed Care Programs, participating plans, plan selection, rate setting, and quality and performance incentives.
NJDOH-NJDOL GAINS CHW Grant Workgroup Charter Plan – June 30, 2020
Outlines the purpose of the Outreach, Recruitment and Retention Workgroup and provides dates for completion of responsibilities.
1115 Waiver Demonstration: Conceptual Framework – A Federal-State Partnership to Address Health Disparities Exacerbated by the COVID-19 Pandemic
To achieve the overall goal of fully integrating social care and health care into the fabric of the NYS Medicaid program, while recognizing the complexity of addressing varying levels of social care needs impacting the Medicaid population, this waiver proposal is structured around four subsidiary goals: Building a more resilient, flexible and integrated delivery system […]
Ohio Approved Community Health Worker Training Programs
The Board of Nursing regulates community health worker training programs in Ohio that prepare students for certification as a community health worker. The Board accomplishes this regulation by assuring that new and existing programs meet and maintain the requirements set forth in Chapter 4723-26, Ohio Administrative Code, as evidenced by the Board’s granting of its […]
Oregon Medicaid Fee-for-Service reimbursement for Community Health Workers
This fact sheet explains how CHWs can qualify to serve OHP clients – and be reimbursed for services – through fee for service billing.
Health Choices Agreement Exhibit B(5): Community Based Care Management Program
The Community Based Care Management (CBCM) Program requirements described in this Exhibit B(5) are for care rendered during a CY and defined in the PH-MCO specific CBCM Program approved by the Department per Section I below. Proposals submitted for the CBCM program must increase the use of community-based staff, including certified Community Health Workers where […]
Pathways Community HUB Blended Resource Model
Graphic showing CHWs as the care coordinator for a family with diverse funding sources.
Adding a Seat at the Table: A Case Study of the Provider’s Perspective on Integrating Community Health Workers at Provider Practices in California
The purpose of this case study is to understand the provider’s perspective of embedding a CHA into the care team and the resulting impact on the practice and patients. Blue Shield also sought to identify best practices and barriers of a CHA program within primary and specialty care practices. As part of an ongoing two-year […]
Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness
Over the past half-century, community health workers (CHWs) have been a growing force for extending health care and improving the health of populations. Following their introduction in the 1970s, many large-scale CHW programs declined during the 1980s, but CHW programs throughout the world more recently have seen marked growth. Research and evaluations conducted predominantly during […]
Community Health Workers in Monterey County: A Report on Competencies, Training, and Best Practices with Recommendations for Expansion
An earlier PFMC report identified health care providers’ current (and potential) utilization of CHWs and their interest in developing a locally relevant CHW training program. This report provides organizations interested in engaging CHWs with timely information to help them use these new health care workers to improve access to needed health care services for all […]
