Community Health Worker services covered by Medicaid effective Jan. 1, 2024

Effective Jan. 1, 2024, we’ll begin accepting claims for Community Health Worker (CHW) services for Medicaid beneficiaries.

To be reimbursed for their services, CHWs must be enrolled in CHAMPS as well as contracted and enrolled in our provider network. We’re now accepting enrollment applications through prism.

View the final policy MMP 23-74 for more information, including covered services and billing guidelines. 

Enrollment guidelines for CHWs are now available in our Provider Manual. 2024 rates for CHWs will be posted to our Medicaid fee schedules (login required) for “Practitioner/medical clinic” when available from MDHHS.