Rhode Island State Plan Amendment 21-0012
Authors: State of Rhode Island and Centers for Medicare & Medicaid Services
Website link: https://nachw.org/wp-content/uploads/2023/03/RI-21-0012.pdf
Publicly Available: Yes
Certification: CHW role scope of practice, Competencies
Evidence Generation: Documentation of how CHWs can work within care teams
Policy: General language around CHW WD, Legislative language, Lessons learned from other states
Sustainable Financing: How to engage and work with Medicaid, Billing/CPT codes, Education to HC orgs on payment options bundled etc., Reimbursement TA for FQHCs Medicaid etc.
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.
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