This information was collected through a combination of state surveys and NASHP staff research. It offers a snapshot of how the state is defining, training, certifying, and paying for the CHW workforce — as well as how the state is developing cross-agency and state-to-local strategies to improve community health in partnership with CHWs.
This is a dynamic policy space, and states are continuing to develop new approaches. We will continue to make periodic updates to this page. Learn more about state CHW policies across the U.S.
State CHW Definition
Indiana Department of Health (IDOH) and the Indiana Health Coverage Program have both adopted the APHA definition of CHWs.
Certification and Training
The Indiana Health Coverage Program (IHCP) will recognize any CHW certification program that demonstrates the core competencies of a CHW or an associate degree in a health care-related field. IHCP-enrolled billing providers must maintain documentation of CHW qualification for the individuals providing CHW services. Indiana’s Division of Mental Health and Addiction (DMHA) also uses a continuum of peer services, including CHWs. Certification to provide CHW services through the DMHA programs must be obtained through Peer Network Indiana.
IDOH partners with the Indiana Community Health Worker Association to offer CHW trainings to address diabetes.
Medicaid Reimbursement
Indiana’s state Medicaid program reimburses for CHW services under its State Plan.
A State Plan Amendment was approved in 2018 to add coverage of CHW services. Indiana Medicaid’s community health worker policy is detailed in Bulletin 201826, “Indiana Health Coverage Program (IHCP) adds coverage of community health worker services.” CHW services may be billed with CPT codes 98960, 98961, or 98962.
Other Funding or Financing Mechanisms
Information is unavailable.
Key Partnerships
Indiana Community Health Workers Association
The Office of Minority Health works with CHWs and CBOs to form health equity councils, where CHWs address community needs.
State CHW Legislation
Information is unavailable.
State Resources
State Overviews
ACO – Accountable care organization
AHEC – Area Health Education Centers
APHA – American Public Health Association
APM – Alternative payment model
CBO – Community-based organization
CDC – Centers for Disease Control and Prevention
CDC CCR Funding – Community Health Workers for COVID Response and Resilient Communities Funding
CHR – Community health representative
CHW – Community health worker
CPT Codes – Current Procedural Terminology Codes
C3 Project – CHW Core Competency Project
FFS – Fee for services
HCSPCS Codes – Healthcare Common Procedure Coding System Codes
HRSA – Health Resources & Services Administration
MCO – Managed care organization
NACHW – National Association of Community Health Workers
SDOH – Social determinants of health
VBP – Value-based payment
State CHW Definition: This category indicates where states have a formal definition of a CHW. In some cases, where there is not a definition in statute, this category may draw information from provider manuals and state websites or reports.
Certification and Training: This category includes information about how CHWs are trained in the state, which entities provide training, whether or not the state runs or recognizes a CHW certification program, and information about the entities that administer existing certification programs.
Medicaid Reimbursement: This category includes information about state Medicaid strategies that provide enrollees access to CHW services. Entries indicate whether state Medicaid programs currently reimburse for CHW services or incorporate CHWs into alternative payment models under the authority of a state plan amendment (SPA), or where states have earmarked funds to support CHW services under the authority of an 1115 demonstration waiver. It also indicates where CHW services might be supported through managed care approaches (e.g., where MCOs are paying for CHW services using administrative dollars or where states are using managed care contracts to incentivize or require MCOs to cover CHW services).
Other Funding or Financing Mechanisms: This category includes information about other state funding or financing approaches that cover CHW services or CHW positions. It includes information about federal grant dollars for which the state is the grantee.
Key Partnerships: This category offers information about key partners outside state government, including state CHW associations and CHW training entities, and highlights formal cross-agency partnerships within the state that support alignment of funding and resources for the CHW workforce.
State CHW Legislation: This category highlights any state legislation relevant to the CHW workforce. This might include statutory language directing agencies to develop a Medicaid reimbursement approach, laws that established state CHW certification, or other relevant statutes.
State Resources: This category offers links to any key reports or resources that states elected to highlight as critical to CHW policy and partnership.
