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Pro Plan | Texas Medicaid Business Doula & CHW Owner Course| CPW Program | AEIC
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Lesson 1.1 – Welcome & Course Overview
Lesson 1.2 – Why Texas? Medicaid Opportunities & Gaps in Care
Lesson 1.3 – Role of Doulas & CHWs in the Healthcare System
Chapter 1 Lesson 4 – Closing Recap & Action Step
Lesson 2.1 – Medicaid Basics: Eligibility & Structure
Lesson 2.2 – Managed Care Plans vs. Fee-for-Service
Lesson 2.3 – Key Medicaid Programs
2.4 Resources (Core) – Medicaid program comparison chart, MCP vs. FFS checklist.
Quiz (Chapter 2)
Lesson 3.1 – Doula Pathways
Lesson 3.2 – CHW Certification Process
Lesson 3.3 – Overview of Children & Pregnant Women Program Past, Present, and Possibility
3.4 Resources (Core) – Certification pathway flowchart, DSHS CHW application link.
Quiz (Chapter 3)
Lesson 4.1 – Choosing a Business Structure
Lesson 4.2 – Registering Your Business in Texas & Other Requirements
Lesson 4.3 – PEMS/TMHP Application
Lesson 4.4 – Credentialing with MCOs
Resource Core: Setting Up Your Business
Quiz (Chapter 4)
5.1.A. HIPAA Compliance: Policies and Procedures for Agencies- HIPAA Foundations & Common Violations
Special Section – The 2024 Change Healthcare Ransomware Attack: Lessons for Compliance
5.1.B. HIPAA Compliance: Policies and Procedures for Agencies - Privacy Rule, Staff Policies, and Corrective Actions
5.1.C. HIPAA Compliance: Policies and Procedures for Agencies - Security Rule, Virtual Use & Technology
5.1.D. HIPAA Compliance: Policies and Procedures for Agencies - Breach Notification, Enforcement & Culture of Compliance
Resources (Core): HIPAA compliance checklist.
Quiz (Chapter 5)
Lesson 6.1 – Building Policies & Procedures for Compliance
Lesson 6.2 – Staffing Models
Lesson 6.3 – Internal Audits, Quality Improvement, and Risk Management
Lesson 6.4 – Supervision & Staff Development
Resources (Core): Staffing model chart, budget planning worksheet.
Quiz (Chapter 6)
Lesson 7.1 – Finding Your First Clients
Lesson 7.2 – Collaborating with Organizations
Lesson 7.3 – Branding & Digital Presence
Lesson 7.4 – Scaling
Resources (Core): Marketing checklist (first 30 days), outreach script.
Quiz (Chapter 7)
Lesson 8.1 – Doula & CHW Related Codes
Lesson 8.2 – Examples of Service Notes
Lesson 8.3 – Denials & How to Avoid Them
Resources (Core): Billing codes quick reference sheet, sample service note.
Quiz (Chapter 8)
Trauma Informed Overview
Cultural Competency
Social Determinants of Health
Admission, Review, and Dismissal (ARD)
Lesson 10.1 – Case Study: Doula Business Launch
Lesson 10.2 – Case Study: CHW Business Launch
Lesson 10.3 – Sustainability & Future Opportunities
Lesson 10.4 – Final Q&A / Call to Action
Resources (Core): Sustainability planning checklist, case study workbook.
Quiz (Chapter 10)
Course Evaluation
Let's Get It Started!!!
Legal Notice
Preview
Chapter 1: Welcome to AEIC Case Management Training
Lesson 1.1 – Welcome & Course Overview
Preview
Lesson 1.2 – Why Texas? Medicaid Opportunities & Gaps in Care
Lesson 1.3 – Role of Doulas & CHWs in the Healthcare System
Chapter 1 Lesson 4 – Closing Recap & Action Step
Chapter 2: Foundations of Medicaid in Texas
Lesson 2.1 – Medicaid Basics: Eligibility & Structure
Lesson 2.2 – Managed Care Plans vs. Fee-for-Service
Lesson 2.3 – Key Medicaid Programs
2.4 Resources (Core) – Medicaid program comparison chart, MCP vs. FFS checklist.
Quiz (Chapter 2)
Chapter 3: Becoming a Doula or CHW in Texas
Lesson 3.1 – Doula Pathways
Lesson 3.2 – CHW Certification Process
Lesson 3.3 – Overview of Children & Pregnant Women Program Past, Present, and Possibility
3.4 Resources (Core) – Certification pathway flowchart, DSHS CHW application link.
Quiz (Chapter 3)
Chapter 4: Setting Up Your Business
Lesson 4.1 – Choosing a Business Structure
Lesson 4.2 – Registering Your Business in Texas & Other Requirements
Lesson 4.3 – PEMS/TMHP Application
Lesson 4.4 – Credentialing with MCOs
Resource Core: Setting Up Your Business
Quiz (Chapter 4)
Chapter 5: HIPAA & Confidentiality
5.1.A. HIPAA Compliance: Policies and Procedures for Agencies- HIPAA Foundations & Common Violations
Special Section – The 2024 Change Healthcare Ransomware Attack: Lessons for Compliance
5.1.B. HIPAA Compliance: Policies and Procedures for Agencies - Privacy Rule, Staff Policies, and Corrective Actions
5.1.C. HIPAA Compliance: Policies and Procedures for Agencies - Security Rule, Virtual Use & Technology
5.1.D. HIPAA Compliance: Policies and Procedures for Agencies - Breach Notification, Enforcement & Culture of Compliance
Resources (Core): HIPAA compliance checklist.
Quiz (Chapter 5)
Chapter 6: Business Operations
Lesson 6.1 – Building Policies & Procedures for Compliance
Lesson 6.2 – Staffing Models
Lesson 6.3 – Internal Audits, Quality Improvement, and Risk Management
Lesson 6.4 – Supervision & Staff Development
Resources (Core): Staffing model chart, budget planning worksheet.
Quiz (Chapter 6)
Chapter 7: Marketing & Growth
Lesson 7.1 – Finding Your First Clients
Lesson 7.2 – Collaborating with Organizations
Lesson 7.3 – Branding & Digital Presence
Lesson 7.4 – Scaling
Resources (Core): Marketing checklist (first 30 days), outreach script.
Quiz (Chapter 7)
Chapter 8: Services & Codes You Can Bill
Lesson 8.1 – Doula & CHW Related Codes
Lesson 8.2 – Examples of Service Notes
Lesson 8.3 – Denials & How to Avoid Them
Resources (Core): Billing codes quick reference sheet, sample service note.
Quiz (Chapter 8)
Chapter 9: Vault Training
Trauma Informed Overview
Cultural Competency
Social Determinants of Health
Admission, Review, and Dismissal (ARD)
Chapter 10: Putting It All Together
Lesson 10.1 – Case Study: Doula Business Launch
Lesson 10.2 – Case Study: CHW Business Launch
Lesson 10.3 – Sustainability & Future Opportunities
Lesson 10.4 – Final Q&A / Call to Action
Resources (Core): Sustainability planning checklist, case study workbook.
Quiz (Chapter 10)
Conclusion
Course Evaluation
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