From 3b551cd46ab5ec3033be818590f13203c706cb09 Mon Sep 17 00:00:00 2001 From: Teleo Agents Date: Thu, 19 Mar 2026 13:27:44 +0000 Subject: [PATCH] extract: 2025-01-01-nashp-chw-policy-trends-2024-2025 Pentagon-Agent: Epimetheus <968B2991-E2DF-4006-B962-F5B0A0CC8ACA> --- ...-01-01-nashp-chw-policy-trends-2024-2025.md | 18 +++++++++++++++++- 1 file changed, 17 insertions(+), 1 deletion(-) diff --git a/inbox/queue/2025-01-01-nashp-chw-policy-trends-2024-2025.md b/inbox/queue/2025-01-01-nashp-chw-policy-trends-2024-2025.md index b0864495..e849ce1d 100644 --- a/inbox/queue/2025-01-01-nashp-chw-policy-trends-2024-2025.md +++ b/inbox/queue/2025-01-01-nashp-chw-policy-trends-2024-2025.md @@ -7,9 +7,13 @@ date: 2025-01-01 domain: health secondary_domains: [] format: policy-report -status: unprocessed +status: null-result priority: medium tags: [community-health-workers, chw, medicaid, state-policy, spa, reimbursement, scaling, workforce] +processed_by: vida +processed_date: 2026-03-19 +extraction_model: "anthropic/claude-sonnet-4.5" +extraction_notes: "LLM returned 0 claims, 0 rejected by validator" --- ## Content @@ -69,3 +73,15 @@ NASHP annual update on state community health worker Medicaid policies, tracking PRIMARY CONNECTION: Session 1 CHW scaling claim — updated baseline from 20 to >24 SPAs with coverage in more than half of states WHY ARCHIVED: Annual CHW policy update — tracks progress on the infrastructure scaling that Session 1 identified as the binding constraint EXTRACTION HINT: Don't just extract the number of states. Extract the pattern: steady incremental progress on CHW coverage is now threatened by federal funding uncertainty from DOGE/Medicaid cuts, adding a new risk dimension to the scaling timeline. + + +## Key Facts +- As of January 2025, more than half of state Medicaid programs have some form of CHW/P/CHR coverage and payment policy +- 24-25 states now have approved SPAs for CHW reimbursement (up from 20 in March 2024) +- Four new SPAs approved in 2024-2025: Colorado, Georgia, Oklahoma, Washington +- 7 states now have dedicated CHW offices +- 15 states have Section 1115 waivers for CHW services +- CHW FFS payment rates range from $18 to $50 per 30 minutes as of January 2025 +- Milbank Memorial Fund published model SPA guidance in November 2025 +- Community care hub model emerging as coordination layer between payers, CBOs, and CHW workforce +- KFF issue brief indicates managed care contracting is more common than FFS for CHW services