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.

Are you a billing provider that has claims and/or encounters questions?

Please visit the Claims and Encounters Resource Webpage.