As of January 1, 2026, the Pennsylvania HealthChoices Program now covers Community Health Worker (CHW) Services for all eligible members through two pathways as a rendering provider directly with the Medicaid Program or through a direct contract with a Managed Care Organization. Both pathways require CHWs to be certified through the PA Certification Board. CHWs must:
- Complete 75 total hours of education from a PCB accredited CHW training provider
- Have one (1) year of full-time volunteer or paid employment or 2,000 hours of part-time volunteer or paid employment as a Community Health Worker.
- Submit a copy of current Community Health Worker volunteer/job description; and
- Have 60 hours of on-the-job supervision of qualifying work experience specific to the domains.
Check out the 2026 HealthChoices Agreement and the CHW MA Bulletin.