In a recent move, RCPA and other organizations, along with the Pennsylvania Community Health Worker Collaborative (PACHW), sent two letters to Governor Shapiro and the PA Department of Human Services (DHS) in support of Community Health Worker services under Pennsylvania State Medicaid. The letters emphasized several crucial points related to payment authorization for these services.
One of the primary requests made in the letters was for DHS to establish an equitable and adequate reimbursement rate that would ensure that Community Health Workers are adequately compensated for their services. Additionally, creating a specific provider type for Community Health Workers would streamline the process and recognize the value of these services within the Medicaid system.
Another significant aspect highlighted in the letters was the recognition of Social Determinants of Health (SDoH) as a primary diagnosis code. By acknowledging and addressing SDoH in Medicaid payments for Community Health Worker services, the state can better support holistic and comprehensive care for its residents.
Overall, the letters served as an important reminder of the need for fair payment rates and recognition of Community Health Workers within the Medicaid system. By prioritizing these issues, Pennsylvania can continue to provide high-quality health care to its residents while also supporting those who work tirelessly to improve their well-being.
