Funder: California Health Care Foundation

Author: Kathy Moses, Logan Kelly, and Audrey Nuamah, Center for Health Care Strategies

March 2021 | Toolkit


Many states, including California, are aiming to improve the quality of life and health outcomes for their residents, and one strategy is to better integrate community health workers and promotores (CHW/Ps) into health care delivery by health plans and providers. Health plans, federally qualified health centers, hospitals, or community-based organizations can partner to deploy effective, evidence-based CHW/P programs to advance health equity and improve overall outcomes. To do this successfully, it is important to have a common understanding of the various roles CHW/Ps can play in care delivery.

The Center for Health Care Strategies, in partnership with the California Health Care Foundation as well as In-Sight Associates, Health Management Associates, and Schoen Consulting, is developing a series of resource packages that share best practices for supporting the integration of CHW/Ps into programs run by Medicaid managed care plans for members of Medi-Cal. This package, first in the series, includes considerations for health plans collaborating with partner organizations to better incorporate CHW/Ps into new and existing programs. It also outlines challenges and potential solutions to implementing these programs informed by insights from individuals with lived experience. The package includes curated, practical resources and tools including sample CHW/P job descriptions and CHW/P program design examples. While this resource is oriented to the California landscape, the lessons herein can be applied for plans in other states seeking to use CHW/Ps to improve health care delivery.

The series is a product of Community Health Workers & Promotores in the Future of Medi-Cal, a project by the California Health Care Foundation that aims to promote the role of CHW/Ps within the context of the California Advancing and Innovating Medi-Cal initiative. Look for future resources from the series, which will be published through 2021.