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Lessons for Advancing and Sustaining State Community Health Worker Partnerships

NASHP

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. States may submit state plan amendments to the Centers for Medicare and Medicaid services to allow reimbursement for CHW services through Medicaid.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

[ii] These shortages of primary care providers (PCPs), who serve as the entry point to medical care and often play a large role in coordinating patient care, create challenges for residents of rural areas, the PCPs who serve them, and the Medicaid agencies responsible for providing access to services for program participants throughout the state.