Community Health Workers & Promotores in the Future of Medi-Cal is a CHCF project carried out by In-Sight Associates (ISA), Health Management Associates (HMA), Center for Health Care Strategies (CHCS), and Schoen Consulting, organizations dedicated to improving health care in the United States.

Project Description

PromotoraIn California, the most culturally diverse state in the country, health care must bridge cultural and linguistic divides to serve all communities equitably. As trusted community members with lived experience, community health workers and promotores have a long history of connecting those not well served by the traditional health care system with culturally competent health and social services.

When people have access to health care that respects their cultural values and behaviors, delivered in language they can understand, they are more likely to have positive health outcomes. Through this project, our goal is for Medi-Cal managed care plans to have the tools to effectively integrate this highly effective workforce into their programs and services, improving health outcomes for Medi-Cal members across the state and forging a path to health equity for all Californians.

Working within the context of the ​California Advancing and Innovating Medi-Cal (CalAIM) initiative, this 15-month project (October 2020 through December 2021) will generate a set of resource packages, informed and reviewed by stakeholders, that support CHW/Ps’ integration into Medi-Cal managed care programs. We will gather these resource packages into a toolkit and publish it in the fall of 2021.

To lead this work, CHCF identified stakeholder organizations interested in supporting advancement of the CHW/P workforce to better serve Medi-Cal members and invited them to serve as project contributors on an Advisory Council, Health Plan Council, or Stakeholder Group. In addition to informing and promoting the project deliverables, contributors will enhance their understanding of CHW/Ps’ value and learn effective ways to integrate CHW/Ps into Medi-Cal managed care programs. Our hope is that the project will also foster relationships among participants that will lead to future collective work.

Each resource package and the final toolkit will be made publicly available. We will also post draft resource packages for public comment.

Project Values Statement

Like CHW/Ps themselves, the Community Health Workers & Promotores in the Future of Medi-Cal project is guided by a longstanding commitment to the communities we respectively serve. We will base our work on power sharing, respect, collaboration, and direct communication. We appreciate the wide variety of work being done by CHW/Ps across California and intend to highlight diverse perspectives to help achieve shared goals that support CHW/Ps and the communities in which they work and live. We acknowledge that this project is just one part of the CHW/Ps’ journey and that other work is needed to elevate this vital workforce and ultimately achieve health equity for all Californians.

Project Impact Statement

The Community Health Workers & Promotores in the Future of Medi-Cal project will help Medi-Cal managed care plans and their partners deploy effective, evidence-based CHW/P programs, with the overarching goal of achieving health equity.

Project contributors will both learn and share information about California and national models, strategies, and tools for integrating CHW/Ps into health care programs. Contributors will further appreciate CHW/Ps’ role in providing a trusted connection to culturally responsive services for Medi-Cal members. Our hope is that the project will also foster relationships among participants that will lead to future collective work.