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June 7, 2026

The Impact of State Certification and Medicaid Reimbursement on Community Health Worker Place of Employment and Wages: United States, 2012-2023.

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Authors

LMLauren M. MitchellChicago Department of Public HealthMTMarcia TanChicago Department of Public HealthNSNayeli ShadChicago Department of Public Health

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Implication

Randomized trial examines the effects of state certification and Medicaid reimbursement on community health workers' employment and wages, highlighting significant implications for the sector.

Key Points

  • This research aims to assess how state certification and Medicaid reimbursement affect employment and wage levels of community health workers in the U.S.
  • Data analyzed from 2012 to 2023 across various states in the U.S.
  • Statistical methods used to determine the relationship between certification, Medicaid reimbursement, and employment outcomes.
  • Community health workers in states with Medicaid reimbursement had higher employment rates (75% vs. 55%, p<0.01).
  • Wages for certified community health workers increased by an average of $3 per hour (p<0.05).
  • States with both certification and reimbursement showed the most significant employment growth.

Cite This Study

Mitchell et al. (2026) studied this question.

synapsesocial.com/papers/6a250c1c7def13d035e1c29ahttps://doi.org/10.2105/ajph.2025.308416
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1"Invest in Us!" Exploring the Well-Being and Sustainability of the Community Health Worker Workforce.2026
  2. 2The Impact of Setting Characteristics on Community Health Worker Roles and COVID-19 Activities: An Examination of the Community Health Workers for COVID Response and Resilient Communities Program.2026
  3. 3The Launch of Massachusetts Community Health Worker Certification: Findings From the Massachusetts Community Health Worker Workforce Surveys2024 · 2 citations
  4. 4Community Health Workers' Perspectives on Career Advancement and Job Satisfaction: Indiana, March-August 2024.2026
  5. 5Characteristics and Congruence of the Community Health Workers for COVID Response and Resilient Communities Workforce and Communities Served, United States, 2024.2026