Using State Plan Amendments for Community Health Worker Medicaid Reimbursement: A Best Practice Case Study from IndianaSeq ID: 137
Authors: Green & Healthy Homes Initiative
Website link: https://www.greenandhealthyhomes.org/wp-content/uploads/Community-Health-Worker-Medicaid-Reimbursement-State-Plan-Amendment_final.pdf
Publicly Available: Yes
Billing and Reimbursement:
Policy: MCO contract language and reimbursement models, General
Sustainable Financing: General
This brief, based on interviews with stakeholders in Indiana, provides policymakers, community organizations, and health providers with best practices and learnings from Indiana that can be applied to other states that wish to utilize the preventive services rule change to submit a SPA to reimburse for CHW services. For background on the basics of the preventive services rule change and SPAs, the Milken Institute School of Public Health and the National Center for Healthy Housing have compiled a technical brief.