Phyllis Jeden

This policy brief focuses on the definition of care coordination services provided by Community Health Workers (CHWs) in the state of Minnesota and was written in response to a request for research on how other state statutes and regulations define care coordination services. Minnesota is investigating the potential to expand CHW service coverage to ensure the sustainability of CHWs in the state. The state is looking into ways to define care coordination that allows the service to be covered. Definitions for care coordination or for CHW services that address care coordination (or comparable services) may be found in the statutes or regulations of at least nine states.

Midwives play a critical role in reducing maternal mortality and many states have made an effort to expand the number of midwives by allowing the licensure of “direct entry” midwives who may be credentialed despite not having a formal nursing education. This resource provides a summary of laws in all states and the District of Columbia regulating direct entry, including training requirements for licensure, the state regulatory body, and what medications midwives can administer while practicing.

Wayne County Michigan, which encompasses the City of Detroit, has a large population of residents of color and also faces some of the state’s most significant challenges. Recently, the county has taken significant measures to address acknowledged disparities in health outcomes, creating Regional Health Equity Advisory Councils, a Black Leadership Council, and committing $300 million to support more than 100 programs to further positive, systemic change.