Community Care Hub

Contracted Partner Resources

A resource center for you and your team.

Message board:

Important Reporting Deadline

All client service data for the first performance period (April 1 – June 30, 2026) must be entered and updated in C2 no later than close of business on July 15, 2026.

Following the reporting deadline, BHT will conduct a preliminary data pull to determine each partner’s performance against the required Key Performance Indicators (KPIs). Once the review is complete, BHT will share the preliminary results with each partner.

Data Revision Opportunity

After receiving your preliminary KPI results, partners may choose to participate in a 10-business-day data revision period. During this time, partners can review records and make any necessary corrections or updates to their data.

At the conclusion of the revision period, BHT will conduct a final data pull. The results from this final review will be used to determine performance-based payments.

Performance-Based Payment Levels

The payment amount earned each performance period is based on the number of minimum KPIs achieved:

Met all five (5) minimum KPIs – 100% of payment
Met four (4) minimum KPIs – 75% of payment
Met three (3) minimum KPIs – 50% of payment
Met two (2) or fewer minimum KPIs – 0% of payment

Please note: Partners are only eligible for incentive payments when they meet all five (5) minimum KPIs.

Need Assistance?

If you would like to review your performance data, discuss KPI progress, or identify opportunities for improvement before the reporting deadline, we encourage you to schedule a meeting with your Program Manager.

Please use the scheduling links below to book a time with your Program Manager:

Quick Links

Document Library

Key Documents (click the plus to the left to expand)

2026 CCH Policy and Procedures

CCH Partner Medicaid Billing Guidance

02.26.26 Social Care Network Onboarding (slides from session)

C2 System Documents (click the plus to the left to expand)

2026 BHT HRSN Assessment (english)

BHT Consent form_English 

BHT Consent form_Spanish

BHT Consent form_Marshallese

BHT Client Email for Privacy Notice – English

BHT Client Email for Privacy Notice – Spanish

BHT Client Email for Privacy Notice – Marshallese

Welcome to the Social Care Network!

Better Health Together is building a referral network to strengthen the connections between our region’s systems of care, and we couldn’t do this work without YOU! You make this Hub work, from referrals, to finding the right match at the right community organization, to coordination of essential care that makes our communities healthier.

Here’s how it works:

Community Care Hub (BHT) takes referral Client Information

A client is referred into the CCH by a referral partner directly through our Client Management System or using our partner or self referral form.

A smiling person with long dreadlocks, glasses, and a short-sleeve button-up shirt sits at a desk in front of a computer monitor. They are holding a green pencil and appear to be working or studying. A cup with watermelon slices and chopsticks is visible on the desk. The background features a white brick wall.

Client is Assigned to the Right Fit Partner

Our team receives the referral and matches the client with a care coordinator based on their unique cultural and community needs.

Care Coordinator works 1-on-1 with client

Clients are then able to work with someone who understands their lived experience and can help them set and achieve their health goals.

So, What is Expected of Social Care Network Partners?

These are the minimum key performance indicators (KPIs) that your organization needs to meet in order to be in good standing with your contract with BHT.

Enrollment

A quarterly average enrollment of at least 30 clients per community-based worker (CBW).

-OR-

At least 60% of referred clients within the reporting period are enrolled in the program using the Client Management System (CMS)

Outreach

At least 95% of referred clients who are discharged without enrollment during the reporting period receive at least three outreach attempts prior to no-contact discharge. 

Consent

At least 80% of all actively enrolled clients have documentation of signed Consent to Services and Authorization to Share Information documented in the CMS.

Screening

At least 80% of all actively enrolled clients have a completed Health-Related Social Need (HRSN) screening documented in the CMS.  

Discharge

At least 95% of clients discharged during the reporting period are discharged appropriately in the CMS at the end of services following Hub Policies & Procedures. 

Reminder: These are minimum standards for performance, and represent basic best practices for Community Care Hubs in serving their community clients across Washington State.

Upcoming trainings and events:

June

July 2026

August

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Events

July 14, 2026

10:00 am - 12:00 pm

OPTIONAL: BHT CCH Open Office Hours

Required Trainings to Keep in Mind

Starting in February 2026, all Community-Based Workers (CBWs) and Supervisors will be assigned the BHT trainings listed below. While some individuals may have completed these trainings in 2025, our updated process requires these trainings to be completed annually each February by BHT to support consistency and shared standards across our network.

Annual Required Trainings

For community based workers (CBWs):

HIPAA
Mandatory Reporting
Foundational Safety Training: Home Visits

For supervisors:

HIPAA

For support with training, reach out to us at [email protected]