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Request For Proposals
The Certified Pathways Community HUB (PCH), is a centralized care coordination model, recognized by the Agency for Healthcare Research and Quality (AHRQ), as a data-driven approach to identifying and addressing risk factors at the individual and community levels. The model is recognized as a best practice by the Association of Maternal and Child Health Programs (AMCHP), that advances the science and implementation of evidence-based care, improves health, reduces costs, and promotes equity.

In 2015, led by strong advocacy from the Ohio Commission on Minority Health (OCMH), Ohio Senate Bill 332 called for communities throughout Ohio to establish Certified Pathway HUBs to combat the state's high infant mortality rates and the alarming racial disparity. It also requires contracting by Medicaid Managed Care Organizations (MCOs) with HUBs to reimburse for completed pathways/ outcomes achieved by Community Health Workers(CHWs) employed by Community Care Agencies (CCAs).

In early 2020, we trained our first cohort of CHWs and Supervisors from five CCAs in the HUB model that now serve at-risk, primarily minority, populations living in Cuyahoga County, including pregnant women, infants, children and adults with chronic disease. The HUB's MCO partners, CareSource, Buckeye and UnitedHealthcare, provide reimbursement to our CCAs to help ensure Medicaid recipients’ health and social needs are appropriately met, and to support sustainability of the model.

We are now ready for additional agencies to partner with the Pathways HUB and this request for proposals is designed for organizations who have, or intend to have employees working in the role of a community health worker (certified or eligible to be certified, through the Ohio Board of Nursing ), licensed nurses or social workers that are interested in being part of a community- based, collective impact model to address health disparities.