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MedicaidCoverageMedium impact

MMP 23-74: Medicaid Coverage of Community Health Worker (CHW)/Community Health Representative (CHR) Services

Michigan Medicaid - MDHHS·MI·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid will begin covering Community Health Worker (CHW) services starting January 1, 2024. CHWs provide health navigation, education, and screening services that must be recommended by licensed healthcare providers and delivered face-to-face.

Action Required

Action needed
By January 1, 2024: Michigan practices serving Medicaid patients should identify if they want to provide CHW services. Contact MDHHS designated contractor to register qualified CHWs in the MI Medicaid CHW Registry before enrolling as Medicaid providers. Update workflows to document licensed provider recommendations for CHW services and ensure face-to-face delivery requirements are met.