Kim Wilson, Lifelong Community Health Worker, Addresses the Washington Health Care Authority to Advocate for Community Health Workers Across The State

Kim Wilson, Community-Based Workforce Program Manager at Better Health Together and a dedicated lifelong Community Health Worker, addressed the Washington State Health Care Authority, passionately advocating for the Medicaid reimbursement of community health workers (CHWs) in non-clinical settings.


Anyone who knows Kim—or has been touched by her work—can attest to the undeniable impact she has. Kim is a beacon of light. From the moment you meet her, her warmth and positivity are contagious, and she has an incredible ability to make everyone around her feel seen, heard, and valued—regardless of their background or circumstances. Beyond her uplifting spirit, Kim is a fierce advocate. She isn’t afraid to speak out, especially for those whose voices often go unheard.

For Kim, being a community health worker is not just a profession—it’s a calling. It’s a life’s work that extends well beyond the confines of a 9-to-5 schedule. As she shared in her testimony: “Community health workers are the heart, the head, and the hands of their communities. We are the true unsung heroes, the ones who bridge the gap and help people access the care they need. The work we do requires immense trust, patience, and a deep commitment to building lasting connections.”

Kim’s words are a powerful reflection of not just her own dedication but the collective strength and resilience of all CHWs. They are often the unseen backbone of our healthcare system, offering support that goes far beyond what can be measured.

Without the tireless efforts of individuals like Kim Wilson, we wouldn’t be able to make the strides we need to truly improve community health. Kim embodies the heart and soul of this work—showing up every day for those who need it most and standing firm in her belief that everyone deserves equitable access to care and support. Her advocacy isn’t just about policy; it’s about people and making sure that no one is left behind.

Kim’s advocacy for CHWs does not stop here. As a recognized leader in the field, she has been selected to participate in the NACHW/PIH-US 3rd Annual Capitol Hill Visit in Washington, D.C., from March 11-13, 2025. There, she will continue her efforts by meeting with lawmakers to push for long-term Medicaid reimbursement for CHWs in non-clinical settings. This event is a crucial opportunity to elevate the voices of CHWs on a national stage and secure the sustainable resources they need to continue their work in underserved communities.

Better Health Together is proud to have Kim Wilson on our team and to highlight the profound impact she has made across Washington State, transforming both communities and individual lives.


Read Kim’s statement to the Washington State Health Care Authority below.

February 4, 2025

To: Health Care Authority

Subject: Rules in Chapter 182-562 WAC

Hello esteemed members,

Thank you for continuing to look for funding options for the community-based workforce. As a result of the continued support of community health workers, both in clinics and in community, supervised by medical providers, we have seen significant improvements in our region of eastern Washington.

I have been a CHW for as long as I can remember, and I took the Department of Health CHW training in 2016. I have been a member, lead, and admin support for Eastern WA CHW Network (2016 – present); State CHW Leadership committee member (2020-2023); NACHW Policy Advisory Committee member (2024-Present). I have also served as a regional CHW training partner (with DOH) 2017 – 2021), DOH CHW Statewide Trainer (2021-2023). I have been a strong advocate, supporter, and I have stood alongside CHWs in our state and beyond. 

CHWs are the heart, the head, and the hands of their communities. They are the true unsung heroes of connecting folks to the care they need. The support that they provide goes beyond the typical 9-5pm workday, and requires a large amount of trust and patience to make lasting community connections. I would like to share an example of two stories today, but there are so many more I could tell. 

In many rural communities, CHWs not only meet clients where they are, but really build bridges to care for the folks most in need.  There was a CHW working with a client who had complex care needs, but was very distrustful. The CHW was from the community, and shared lived experience, but realized that in order to support this client, they would need to reach out to other community partners and create an integrated care team. She brought in a social worker, primary care, employment, housing, and family supports. They met as a care team to support this community member for 6 months. Now the client is thriving. This is the power of a CHW that works in community, not just in a clinical setting. 

We also work with a CHW who works in a community setting that shares lived experience and culture with refugees and immigrants from Afghanistan. When I met her, she told me that many come in for 1 need, but that is not the entire story. Once trust has been established, what might seem like an issue with rental assistance leads to supporting them through addressing health-related social needs. For example, there was a community member who sent their son to speak with the CHW. The CHW met them at their home, because the elderly community member was blind and didn’t speak English. When they arrived, it was obvious that they needed support with more than just rental assistance. They needed a caregiver, food support, financial help, and cleaning (just to name a few). This CHW is still working with this client today. They have been able to support them with caregiving, food, and transport to doctor’s appointments. 

At BHT, I support the CHW training and apprenticeship programs. I have been responsible for training hundreds of CHWs from 2017-2022. At BHT from 2023- 2025, we have trained 92 new and 24 existing CHWs in eastern WA. The training program fills up with a waiting list every time we release it, and has run almost entirely on word of mouth. We face a number of barriers in providing training and professional development to community health workers in our region, but the stories of impact remain a driving force for us to continue this work. We appreciate the work you are doing to get clinic based CHW funded by Medicaid and ask that you also explore Medicaid funding for the community-based workforce.

Thank you for your consideration,

Kim Wilson, Program manager

Community Health Worker Training Program & Apprenticeship, Eastern Washington


Kim Wilson shares what it means to be a community health worker (CHW) as part of a campaign to bring awareness to the work of CHWs and the important role they play in the healthcare delivery system.

Meet Marty – A Community Health Worker

Community Health Worker Awareness Week is held every year from August 26th to 30th. We’re excited to keep highlighting eastern Washington community health workers all year long! Discover more about these incredible individuals who are making a real difference through their dedication, compassion, and relentless commitment to enhancing community health.


My name is Marty and I am a Community Health Worker.

How did you first learn about community health workers?

When I was growing up, I thought that I wanted to be a doctor. Then, I talked to one of my college advisors and explained to them my vision for what health would look like on my reservation compared to the very healthy university town that I was living in. They told me that in order to fix health on the reservation, I would have to get into politics or community health, and I chose community health.

What was your experience like in the community health worker training program?

I enjoyed the community health worker training program because it was self-paced and online, and you could really take your time with the material.

What does a typical day look like for you as a community health worker?

The cool thing about being a community health worker is that no day looks the same, and no client is the same. So you never know what you’re going to be doing that day or how your day will look. But typically, you’re working with your clients, and whatever that brings is really dependent on the day and the client.

What is the response from community members about your work?

People will stop us mid-sentence, we’re just doing our job, and then they tell us, “I just want you to know the work that you’re doing is amazing, and we’re so grateful, and we appreciate everything that you’re doing for us in the community.” And it’s a nice reminder because, for us, we’re just doing our job, and we’re on our normal standard operating procedure, if you will. I feel like we get so into doing the work and getting the work done that we forget that we’re impacting people’s lives in a positive way. 

Three Years of Impact for the Behavioral Health Forum

BHT received an Integrated Managed Care (IMC) Incentive through Washington’s Section 1115 Medicaid Waiver to create and develop projects and activities to improve our healthcare system. In 2021, our Board allocated Integrated Managed Care Incentive funds to support behavioral health (BH) workforce initiatives. This included support for organizations with substance use disorders (SUD) and master’s level BH staff to provide supervision to ensure staff can gain critical licensure. In 2022, the Behavioral Health Forum used participatory budgeting to allocate $150,000 to continue funding behavioral health supervision.

The BHT Behavioral Health Forum is a group of behavioral health provider organizations and educational institutions that has met regularly since 2021 to collaborate on solutions to behavioral health workforce challenges. In 2022, the group became a self-governing body and began using participatory decision-making practices to allocate $1.2M to initiatives that support the behavioral health workforce. As of November 2024, all funds have been allocated and we are celebrating the group’s successes by highlighting the impact the group has had in our region!


Overall Impact

$1,206,906 allocated to regional behavioral health workforce initiatives using participatory budgeting

33 BHT Behavioral Health Forum member organizations

20-30 attendees at bi-monthly meetings


Workforce Recruitment and Retention

  • $130,000 distributed to 13 organizations to support behavioral health internship programming.

  • 30 supervision support contracts awarded in two rounds to 22 organizations that provide clinical behavioral health services.

  • Over 4500 hours of supervision provided to 174 mental health and substance use disorder professional staff…and counting! Contract work is still underway and final numbers are not yet available.

Training

  • 46 people trained in Motivational Interviewing by the Institute for Individual and Organizational Change.

  • Trained individuals on Intergenerational Colonial Trauma: Long-Term Impacts on Native American Communities by Indigenous woman-led consultancy Swan Innovations.

  • Certified Peer Counselor and Wellness Recovery Action Plan (WRAP) Peer training offered by partner organizations Passages.

Education

  • $287,864 allocated to scholarships for students in the first-ever Bachelor of Applied Science in Integrated Behavioral Health cohort.

  • 28 licensed clinicians provided funding to complete the substance use disorder professional alternative certification coursework at the Community Colleges of Spokane.


This is only a snapshot of the impactful work that the Behavioral Health Forum was able to complete in three years. If you are interested in learning more about the work, click here. Stay tuned for updates. Contract work is still underway and final numbers will be available soon!

How Community Linkages Funding Supported Nine Organizations Across Eastern Washington

In 2023, BHT had the honor of awarding $3.6 million to nine organizations across eastern Washington with our Community Linkages funding.

The funding goals included:

  • Strengthen infrastructure in community-based organizations that provide care coordination and health-related social needs.

  • Encourage connectivity across sectors in the care system, improving client access to care.

  • Shift power by supporting organizations that represent the communities they serve.  

We aimed to find organizations that demonstrate a strong commitment to caring for the whole person through care coordination and social determinants of health services, such as resources for housing, food, culturally responsive care, transportation, employment, and support for justice-involved populations.

We are excited to share how the nine organizations used the funding and its impact on their communities.

View the original post announcing the funding here


Impact of Community Linkages Funding

The collective impact of these nine organizations demonstrates their influence across the eastern Washington region. Together, they are making a significant difference that resonates throughout the community!

  • With this funding, partners served approximately 8,000 people, with over half identifying as BIPOC. Individuals include people on Medicaid, youth and young adults, adults 65+, and people with disabilities.

  • In addition to providing direct services, partners referred to many external supports, including housing, food, education/employment, transportation, legal aid, primary care, and behavioral health services.

  • Some of the identified barriers to accessing services include immigration status, language access, transportation, safe and affirming care, lack of housing vouchers, and staff capacity.

  • Partners also used funding to grow their staff by adding case managers, care coordinators, community comadres, peers, and community health workers.


How Organizations Used The Community Linkages Funding


 

Compassionate Addiction Treatment (CAT)

The OAN IT program—Outreach, Advocacy, and Navigation Ignites Transformation—was established to support individuals exiting the county jail in their transition to stability. By connecting them with essential services, the program aims to reduce recidivism, successfully reaching over 75% of referrals from the jail. CAT peers have gained recognition from several judges and members of the prosecutor’s office as valuable resources for system-involved individuals, demonstrating their effectiveness and positive outcomes. However, the program faces significant challenges, including a housing supply shortage and the criminalization of homelessness, which complicate efforts to provide adequate support.


 

 Latinos en Spokane

Community Linkages funding has enabled Latinos en Spokane to grow its staff and expand its efforts in providing comprehensive wraparound services to community members, including housing assistance, health insurance navigation, and preventive health care. A feasibility study has been conducted to explore the possibility of securing a larger space in the future. Additionally, the organization is engaged in policy work and direct enrollment initiatives aimed at increasing Medicaid access for immigrants. However, they face challenges with the recent Apple Health expansion, which has resulted in a limited number of available slots. The organization is actively advocating for further expansions to address these issues.


 

Northeast Community Center/ The Zone

Community Linkages funding has been utilized to provide targeted housing services for families with children in Northeast Spokane. This includes connecting families to essential social determinants of health services, such as transportation, employment, and childcare. Participants have successfully used tools for budgeting and benefits calculations, reporting a 50% increase in housing stability at the program’s midpoint, with 100% creating a household budget. The organization is also exploring collaborations to enhance language support for English language learners. However, a significant challenge remains in the form of limited housing availability.


Nuestras Raices

Community Linkages funding has been used to develop a new program aimed at supporting caregivers of individuals with medically complex needs (more details can be found at https://www.hbpaofspokane.org/medicallycomplex). This initiative focuses on coalition-building, statewide advocacy, and peer support (parent-to-parent). Additionally, the program offers case management and social determinants of health services to 146 families in Adams and Spokane counties. However, they are facing increased challenges, as the demand for housing support has risen significantly compared to previous years.


Peer Spokane 

The Peers in Libraries program was established with Community Linkages funding to provide on-site peer support at the Central Library downtown. Peer supporters offer emotional assistance, distribute food, connect individuals to services, and build trusting relationships within the community. Impressively, the peer team made referrals to resources or services in 95% of their engagements. They collaborate with social work interns, creating a strong combination of peer support and professional guidance. However, the high volume of demand presents challenges, highlighting the need for additional staff. Having peers with specialized expertise, such as in housing, would be particularly beneficial, as housing is a critical need for many community members utilizing these services.


 Pacific Islander Community Association of Washington (PICA-WA)

Community Linkages was PICA Spokane’s first significant grant since its start in 2019, helping to build the infrastructure necessary for expanding their work and outreach. This funding supported wellness navigation, providing case management to help families address social determinants of health, and developed a food network that served 406 families during the one-year reporting period. Additionally, a newly established youth council was created to engage young people in their initiatives. However, the organization faces challenges related to language access, housing needs, and the allocation of limited resources.


Rural Resources Community Action 

Community Linkages funding is supporting initiatives from their new Deer Park office, which has broadened the organization’s geographical reach and improved accessibility for more individuals. With these funds, they offer hypertension self-management support, medication care coordination, and screenings for social determinants of health—conducting nearly 1,200 screenings between October 2023 and May 2024, with every participant offered a screening. These screenings revealed a need for domestic violence support, prompting the organization to develop appropriate responses. Additionally, they are working to integrate community health workers (CHWs) and scale up their services.


Spectrum Center Spokane

With Community Linkages funding, they established support groups for parents of gender-expansive youth, 2SLGBTQIA+ youth, 2SLGBTQIA+ adults, and QTBIPOC adults. These support groups are thriving, thanks in part to a care coordinator who conducts basic screenings for social determinants of health and provides additional support to attendees as needed. While there were initial challenges in finding a skilled clinician to facilitate the groups, they have successfully connected with excellent professionals, and the groups are now progressing well.


West Spokane Wellness Partnership (part of the Northeast Washington ESD 101)

Community Linkages funding was utilized to develop a project focused on youth interventions for substance use prevention. This initiative includes outreach efforts and youth support groups addressing topics such as anxiety, vaping, and tobacco use prevention. The program distributes medication lock boxes, family board games, hygiene items, and other resources that promote holistic health for youth. Additionally, it offers screenings, brief interventions, and referrals to treatment for students participating in the support groups. Feedback from students indicates that their knowledge of available resources has increased significantly through these support sessions.

Investing in Community Events with BHT Sponsorship Funds

At BHT, we work to share our commitment to our community partners every day through finding and creating funding opportunities, but what about community needs that are more out-of-the-box?

In 2023, the BHT board allocated funds for community events to elevate our community support and live out our mission and values. BHT is committed to sponsoring events and community engagement activities that promote community wellness and elevate community voices.

So far this year, we have had the chance to support over 50 events and allocate over $150,000 to events in our region. We continue to process applications and will update you as the year goes on!

So far in 2024, we had the honor of sponsoring the following community organizations with their events:

  • A Woman’s Worth

  • American Indian Community Center

  • Asians for Collective Liberation Spokane

  • Compassionate Addiction Treatment (CAT Spokane)

  • Creole Resources

  • FailSafe for Life

  • Feast Collective

  • Flett Middle School – Spokane Public Schools

  • Girls on the Run of Spokane County

  • Healthy Ferry County Coalition (HFCC)

  • If You Could Save Just One

  • Inchelium Language & Culture Association

  • Latinos En Spokane

  • League of Education Voters

  • kʷu cnxiʔ

  • Manzanita House

  • Martin Luther King Center

  • Maji Rising

  • Merry Glen

  • Mission Community Outreach Center

  • Mujeres in Action

  • Northeast Youth and Family Services (NEYFS)

  • Nuestras Raices

  • NW Unity

  • Operation Healthy Family

  • Peace & Justice Action League of Spokane

  • Refugee & Immigrant Connections Spokane

  • Reimagine Medical Lake

  • River City Youth Ops

  • Ronald McDonald House of the Inland NW

  • Rosalie Murrey Memorial Foundation

  • Shades of Motherhood Foundation

  • Spectrum Center Spokane

  • Special Olympics Washington – Northeast Area

  • Spokane Eastside Reunion Association (SERA)

  • Spokane Parks Foundation

  • Spokane Pride

  • Spokane Tribal Network

  • Spokane Youth for Christ

  • Spokane Stealth Lacrosse

  • Spokane Tribal Network

  • Sweet Grass Healing Arts

  • The Lands Council

  • The Way to Justice

  • Thrive International

  • Transitions

  • Vanessa Behan

  • Volunteers of America Eastern WA

  • Yoyot Sp’q’n’i