Episode 8—Preparing for Reimbursement


This is the State Plan Amendment (SPA) under which Multnomah County Environmental Health's Targeted Case Management- Healthy Homes Program receives reimbursement through Oregon's Medicaid program. As part of the process involved in the submission of this SPA, the state of Oregon submitted a waiver to CMS to waive certain Federal requirements, including the ability to reimburse community health workers for in-home asthma visits.
>> Download (13.83 MB)

Additional Resources:

Watch the webinar on Effective Strategies for Obtaining Reimbursement, AsthmaCommunityNetwork.org

Learn how to describe your program’s value using the Value Proposition, AsthmaCommunityNetwork.org

Review an Example of a State Plan Amendment, Multnomah County Healthy Homes Collaborative

Materials from Baltimore Regional Summit on Pediatric Home Asthma Interventions, Various Presenters

Get additional guidance at CMS’s State Resource Center, Centers for Medicare & Medicaid Services

Confirm your understanding of Medicaid with Medicaid 101: What You Need to Know,  Kaiser Family Foundation

Examine how the Medicaid program is structured using Medicaid: A Primer – Key Information on the Nation’s Health Coverage Program for Low-Income People, Kaiser Commission on Medicaid and the Uninsured