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Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance, November 2025 Update

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Authors: Annie Cloke, Margarita Hart, Janée Tyus, Dawn Alley, Shreya Kangovi

Community health workers help people deal with everyday challenges that affect their health by connecting them to services, offering support, and helping them make healthy choices. Research shows that strong CHW programs improve long-term health, support mental wellbeing, reduce hospital visits, and help more people access basic care. While these programs have often depended on short-term funding, many state Medicaid programs now pay for CHW services. This toolkit offers simple examples to help states and advocates include CHW services in Medicaid plans and payment policies

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Resource Topic: CHW Payment

Resource Type: Tools

Year: 2025

Region: North America (U.S. and Canada)

Country: United States of America

Publisher May Restrict Access: No

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