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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Team-Based Communication. How to Use This Guide.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. In Rhode Island, MCO plans of care must include “interventions to address special needs (e.g.,

Medicaid 102
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Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

NASHP

Authority refers to the section of Medicaid regulations that the state used for the SPA. Eligible primary care practices must engage CHWs starting in 2024. The Massachusetts primary care sub-capitation model was launched in 2023 by MassHealth (Medicaid) as part of its broader ACO system.

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State Community Health Worker Models

NASHP

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management.

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Community Health Worker Models

NASHP

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. In addition, CHWs are often included in Accountable Communities for Health (ACH).