CHCS September 11, 2024
Takeaways
- Medicaid does not directly reimburse providers for travel to deliver field-based services.
- Recent changes in Medi-Cal have highlighted the challenges of covering travel costs for these services.
- Providers who are not adequately reimbursed for travel time and costs to deliver field-based services may stop offering these services in some geographic areas or may rely more on telehealth delivery.
- This brief highlights state level and Medi-Cal managed care approaches to maximize access to field-based services by addressing travel costs for three types of providers: community health workers/promotores/community health representatives, doulas, and behavioral health providers. While developed for California, the insights can inform all states in improving access to field-based services through travel and transportation coverage.
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