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Toolkit for Medicaid Reimbursement of Community Health Worker Services

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Community health workers (CHWs) are an important part of the health workforce. They support community members through health coaching, advocacy, and resource navigation. Research has shown that well-designed CHW programs can: 

  • improve chronic disease control and mental health 
  • promote healthy behaviors 
  • reduce hospitalizations 
  • increase participation in primary care 

Recognizing the impact of their work, many state Medicaid programs now cover CHW services. This Milbank Memorial Fund toolkit provides model language and a guide for state Medicaid leaders and advocates.