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Community Health Workers

Effective on January 1, 2024, Michigan Medicaid will begin reimbursing for Community Health Worker (CHW) services provided to individuals covered by or eligible for Medicaid Insurance. CHW providers seeking reimbursement for their professional services to Medicaid beneficiaries are required to be on the MI Medicaid CHW Registry and enrolled in CHAMPS as a Medicaid provider.

A lack of sustainable funding has traditionally been a barrier to expanding CHW services and integrating them into the healthcare system. Providing reimbursement through Fee-for-Service Medicaid is one way to help address this challenge. MDHHS recognizes CHWs as catalysts for promoting health equity, improving health outcomes, supporting integration in communities and across settings, and expanding opportunities for care – ultimately addressing SDOH within Michigan communities.

 

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Are you a CHW who wants to offer services that can be paid for by Medicaid? If you are not sure how to start, we can help!

MDHHS has created a CHW Beginner Guide which contains links to resources to walk providers through the processes of obtaining a National Provider Identifier (NPI), applying to be on the MI Medicaid CHW Registry, and enrolling into CHAMPS. Reminder – a CHW provider may only move on to the next step in the application and enrollment process once the previous step has been completed (For example, notification received on acceptance into the registry).

Join the CHW Medicaid Listserv to get messages and stay in the know!

 

Recorded Webinars

February 14, 2024: CHW: CHAMPS Provider Enrollment Introduction- PDF, Recording

February 7, 2024: CHW: MI Medicaid Registry Process- PDF, Recording

Additional Resources

Contact Us

Do you have specific policy related questions? Please send them to: MSApolicy@michigan.gov

Providers with CHAMPS or Provider Enrollment Application questions should contact Provider Support at 1-800-292-2550 or by email at ProviderSupport@Michigan.gov