Building Successful Managed Care Programs with Community Health Workers’ Expertise, 2024

Across the nation, states are pursuing strategies to meet Medicaid members’ health and social needs, including coverage and requirements for deploying community health workers (CHWs). Because CHWs can build trust and connect members to resources for whole-person care, they are ideally positioned to help identify and address these needs and provide insights into how programs can be designed to meet community member needs. This brief offers guidance to help managed care organizations (MCOs) and Medicaid agencies—along with providers, community-based organizations, and funders—incorporate CHW expertise in the design, implementation, and quality improvement of CHW programs. Brief supported by CHAP.