Responses to Public Comments: Proposed Medicaid State Plan Amendment (SPA) for Community Health Worker (CHW) Services
Authors: Rhode Island Executive Office of Health and Human Services
Website link: https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2021-09/response-to-chw-comments-final-092321_0.pdf
Publicly Available: Yes
Billing and Reimbursement:
Policy: MCO contract language and reimbursement models
Sustainable Financing: Engaging state partners in general, General other, How to engage and work with Medicaid, Including community-based CHWs, Billing/CPT codes, Education to HC orgs on payment options bundled etc.
Rhode Island: Includes comments and responses on reimbursement rates, provider qualifications and billing, payment methodology, beneficiary eligibility for CHW services, non-fee for service models, and general support.