Minnesota is one of several states with Medicaid coverage for specific CHW services. CHW positions and programs also can be supported through a variety of funding sources, including:
- Government grants and contracts
- Foundation grants
- General operating dollars
Minnesota Health Care Programs (MHCP) including Medical Assistance (Medicaid) and MinnesotaCare, cover diagnostic-specific health education services provided face-to-face to individuals and groups by enrolled CHW certificate holders under the clinical supervision of authorized provider types. This includes both fee-for-service as well as enrollees of managed care plans.
For CHW services to qualify for coverage, CHW supervision may be provided by physicians, advance practice nurses, dentists, certified public health nurses working in a unit of government and mental health professionals who are enrolled as Minnesota Health Care Program providers.
Source: Minnesota Community Health Worker Survey of Workplace and Continuing Education Needs, Stephanie Feldman, B.A., M.P.H. candidate, Laura Ehrlich Sanka, M.P.H., Joan Cleary, M.M., Diana DuBois, M.P.H., M.I.A. WellShare International and the CHW Peer Network in association with the MN CHW Alliance.
For more information, see Community Health Worker Coverage in Minnesota Health Care Programs (PDF).
As payment reform efforts cause a shift from volume-based to value-based purchasing, CHWs will help providers achieve the outcomes on which global financing and total cost of care are based.
Additional resources:
- Advancing Community Health Worker Practice & Utilization: The Focus on Financing (PDF)
- Community Health Workers: Financing & Administration (PDF)
- Financing Community Health Workers: Why and How (PDF)
- The Evolution, Expansion and Effectiveness of Community Health Workers (PDF)
- Integrating Community Health Workers Into A Reformed Health Care System (PDF)
- State of Minnesota CHW Tool Kit, 2016, pp 42-46 (PDF)
- CDC’s National Asthma Control Program “Asthma Self-Management Education and Environmental Management: Approaches to Enhancing Reimbursement,” 2013 (PDF)
