Updated community health worker resources

Washington State Health Care Authority sent this bulletin at 06/23/2025 10:18 AM PDT

June 23, 2025

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Updated community health worker resources

The Health Care Authority (HCA) has updated the community health worker billing guide for dates of service on and after July 1, 2025.

What’s new:

First visit flexibility: The requirement for the first visit of the month to be in-person has been removed. The first CHI or PIN service each month may now be delivered in-person or via telemedicine.
Clarity on personnel: The guide now includes clearer definitions around auxiliary personnel eligible to provide CHI and PIN services, including CHWs.

These updates aim to improve access, reduce barriers to care, and ensure clear guidance for providers delivering social needs-based services.

A new frequently asked questions document is also available for questions related to requirements and billing.

View CHW benefit FAQ

Preparing for CHW benefit launch

The CHW WAC and billing guide have been published, but CHW services cannot be billed until the benefit goes live July 1, 2025.

Providers should review both documents, begin preparing for provider enrollment, and participate in the upcoming community and office hour calls.

Upcoming CHW open office hours

Date: Friday, June 27
Time: 10 - 11:30 a.m.

Join Teams meeting (no registration required)

Stay informed

Email: HCA CHW grant.
Beginning June 30, direct all inquiries to HCA CHW benefit.
Sign up for community health worker bulletins to receive updates.

Visit CHW webpage

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.