WAC 182-562-0600. Community health workers — Covered services

The medicaid agency covers the following services when performed by a community health worker (CHW): (1) Conducting person-centered assessments within their focus to: (a) Identify personal health goals and preferences; (b) Assess for physical, mental, behavioral, and social challenges; and (c) Collaborate with the client to establish health goals; (2) Care coordination and health system navigation including the following: (a) Coordinating additional supports or specialty services; (b) Managing the client's care plan; and (c) Assisting the client in identifying and accessing resources; (3) Facilitating behavior change and client self-advocacy including the following: (a) Promoting client motivation to participate in care and reach person-centered diagnosis or treatment goals; (b) Teaching techniques for self-monitoring and self-advocacy; and (4) Health education and promotion including the following: (a) Helping clients to contextualize health education provided by the client's treatment team with the client's individual needs, goals, and preferences, in the context of the principal illness and/or SDOH need(s) and educating the client on how to best participate in medical decision making; and (b) Building client self-advocacy skills, so that the client can interact with members of the health care team and related community-based services addressing the principal illness and SDOH need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment.