Table 1 Policy information by state

Connecticut/

HB5677

• Received medical treatment for an injury as a result of an act of community violence

• At elevated risk of a violent injury or retaliation resulting from another act of community violence

In accordance with DOH of Connecticut:

• At least 35 h of training on trauma informed case and conflict mediation/retaliation

• At least six hours of continuing education every two years

• Affiliated with at least one trauma level I or II licensed short term general hospital or children's hospital

• Minimum hourly reimbursement rate: $50.60

Illinois/

HB158

• Received services from qualified community health worker

• Demonstrate medical necessity according to the Illinois Medicaid Comprehensive Assessment of Needs and Strengths (IM + CANS) instrument

• Work under the supervision of a medical program provider in conjunction with a violence prevention community support team (VP-CST)

• Department of Healthcare and Family Services ask approval from Centers for Medicare and Medicaid Services for CHW reimbursement

• Minimum hourly reimbursement rate: $152.00 (off site) or $139.36 (on site)

California/

AB1929

• One or more chronic health conditions (including behavioral health and substance use)

• Exposure to violence and trauma

• At risk for a chronic health condition or environmental health exposure

• Face barriers in meeting health or health-related social needs, and/or who would benefit from preventive services

• Work under the supervision of a medical program provider

• 2,000 h of work experience, paid/volunteer positions, demonstrated skills and practical training

• Additional six-hour training annually

• Requires a written document that is developed by one or more licensed providers

or

• Services must be billed through local managed care plan if CHW is already Medi-Cal enrolled provider

• Minimum hourly reimbursement rate: $53.32