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Understanding Community Health Workers/Promotores/Representatives, Doulas, and Peer Support Specialists in Medi-Cal

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Authors: Sunshine Moore

Community health workers (CHWs), doulas, and peer support specialists (PSSs) play a key role in improving health and reducing health gaps. Though they have worked in communities for years, Medi-Cal (California’s Medicaid program) has recently started covering their services. This summary explains who they are, how their roles are similar or different, and what services they provide. CHWs include promotores, community health reps, and others who support people with managing health issues and navigating the system, using their shared life experience to connect with the communities they serve.

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Resource Topic: CHW Motivation, CHW programs

Resource Type: brief

Year: 2025

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

Country: United States of America

Publisher May Restrict Access: No

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CHW Central is run by a team of dedicated volunteers and paid interns, with an annual operating budget of less than $20,000. In 2026, we have bold ambitions to further strengthen CHW associations, enhance opportunities for CHW organizing and information exchange, and make the latest research more accessible across the globe.

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