Following are implementation tools, financing considerations, and evaluation strategies that state policymakers, health systems, providers, health plans, and other interested stakeholders can use when seeking to create or improve CHW programs for older adults.
Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance
This toolkit provides key considerations and templates for state Medicaid leaders seeking to establish coverage, payment, and policy guidance for community health workers.
Building Successful Managed Care Programs with Community Health Workers’ Expertise
This brief offers tips for managed care organizations and Medicaid agencies on how to incorporate community health worker expertise when building or enhancing CHW programs.
Opportunities for Public Health Agencies to Advance Sustainable Financing of Community Health Worker Programs
Report highlights key strategies for supporting financially sustainable community health worker programs.
Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services
This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.
New Ways to Finance Community Health Worker Services in Medicare
States and health plans focused on engaging and sustaining the community health worker (CHW) workforce can use this blog post to understand emerging evidence around CHW programs for older adults.
Environmental Scan on Community Health Workers: A 50-State Scan of Medicaid Reimbursement Approaches for the CHW Workforce
Comprehensive scan reveals diverse strategies in program design and provider reimbursement for community health worker services within state Medicaid programs.
Sustainable Financing of Community Health Worker Employment: Key Options for States to Consider
This report outlines key strategies for states to sustainably finance the community health worker workforce.
Community Health Worker Model Best Practice Toolkit for Designing, Implementing and Showing Impact
Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.
Integrating Community Health Workers on Quality Improvement Teams: Lessons from the Field
Tips on integrating community health workers into quality improvement teams to address patients’ social needs.
