Information for Health Systems, Providers and THWs

On this page, health system personnel, providers, and THWs will find helpful information and guidance documents on ways for THWs to be integrated into health care services and programs.

THW Program Announcements

THW RAC Recruitment

The THW Program is revising the Oregon Administration Rules (OARs) Chapter 950 Division 60 and is recruiting a diverse field of Subject Matter Experts (SMEs) from rural and urban areas to serve on the Rules Advisory Committee (RAC). 

Click Here to submit your application to be on the RAC. The deadline to apply is on April 3rd, 2026. Please note that a public comment period will begin after the draft rules are completed. The RAC will adress the following topics:

• Definitions
  

• THW certification requirements and process
  

• THW curriculum requirements, process, and standards
  

• Complaints process
  

Reciprocity on Pause

• Reciprocity for Birth Doulas and Peer Support Specialists from Washington is currently on pause, as of 2/11/2026. There is not an expected reinstatement date yet.

Legacy Clause Expired

• Due to the expiration of EID 1-2025 CHAPTER 950 under OAR 950-060-0060, until further notice, we are unable to process applications using the Legacy Clause. This pathway to certification will be re-considered through our rulemaking process. 

OHA's Traditional Health Worker Toolkit 

The Traditional Health Worker Toolkit includes the following topics:

•     THW Overview and 101

•     THW Scopes of Practice 

•     Benefits of Integrating THWs 
  

•     Integrating and Retaining THWs

•     Health Care Delivery System Contracting with Community Based Organizations 

•     Recommendations for Supporting and Supervising THWs 

•     Best and Promising Practices Resources
  
  
  

THW Statewide Needs Assessment Reports

• Advancing Health Equity for Childbearing Families in Oregon: Results of a Statewide Doula Workforce Needs Assessment (2018)
  

• CHW Workforce Assessment (2018)
  

• Oregon's Peer-Delivered Services Workforce Needs Assessment (2020)
  
  
  

Best and Promising Practices

• Wraparound Best Practice Guide Version 1.0 
  

• Multisector Intervention Report: CHW for Patients with Chronic Disease

• Best and Promising Practices: Integration of Community Health Workers into Clinical Settings
  

• Guidelines for THW Doulas Serving OHP Members 
  

• Supervision Best Practices
  

 Payment Models

• Final Payment Model Grid by Worker Type with Disclaimer

• Recommendations for Birth Doula Payment Models
  

• Recommendations for CHW Payment Models
  

• Recommendations for PHN Payment Models
  

• Recommendations for PSS Payment Models
  

• Recommendations for PWS Payment Models
  

Fee-for-Service Billing Guides

In Lieu of Services (ILOS) Guidance

ILOS guidance documents now available on the OHA ILOS website. The guidance documents include benefits ad criteria of ILOS, coding guidance, answers to CCO questions and a comparison between OHA spending initiatives. 

Other Resources