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.

Announcements

RAC Recruitment and Ad hoc Committee for THW Postpartum Doula
The passage of SB 692 (2025) requires OHA to establish rules aimed at
transforming maternal-child health through provisions of creating postpartum
doulas. The Oregon Health Authority's Equity and Inclusion Division provides
oversight for traditional health workers and requirement for certification.
 
To address this, Oregon Health Authority (OHA) is recruiting individuals to inform
its rule making, provider scope and qualifications by assisting OHA in making
recommendations based on the three areas identified. Individuals are expected to
have experience and expertise in systems work relating to Medicaid and traditional
health workers, and postpartum doulas: Apply here by January 31st, 2026

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