Community Care Hub
Contracted Partner Resources
A resource center for you and your team.
Message board:
We’re excited to share our Weekly Community Care Hub Partner Updates! Each Monday, BHT will share important updates, upcoming opportunities, reminders, and action items to help Hub partners stay connected and informed. Weekly updates will also be saved in the Document Library below for easy access and reference.
Family Resource Center (FRC) Partner Inventory
Better Health Together is working to better understand which organizations in our Social Care Network operate as, or may meet the definition of, a Family Resource Center (FRC) in Washington. An FRC is a welcoming, strengths-based place where families can connect to information, resources, referrals, and other supports. FRCs generally serve as a point of entry for families, help assess needs and strengths, connect families to or directly provide services, respond to the needs and cultures of their communities, and have at least one family advocate who can help families identify goals and next steps when requested. Your organization or program does not need to have “Family Resource Center” in its name to meet these criteria. If your organization operates a program or location that you consider an FRC or that may meet these criteria, please complete this form and share the name of the program or location and the community or county/counties served. Not sure if your program qualifies? That’s okay! Share what you know, and we can take a closer look. Your response will help us get a better picture of the Family Resource Center resources that may already exist across our Social Care Network.
Click here for the RFC Partner inventory form.
Data Reporting Deadline
Data for the July–September 2026 reporting period is due by close of business on October 15, 2026.
Please refer to your contract or contact your Program Manager for additional information about reporting timelines.
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
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.
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:
Events
September 30, 2026
9:30 am - 2:30 pm
C2 Workflow Refresher (Supervisors Only) | Required Virtual Training
Zoom
October 1, 2026
9:00 am - 3:00 pm
C2 Workflow & Documentation Refresher | Required In-Person Training
Spokane Falls Community College
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]
Meet the hub team!
Hailey Muto, Social Care Network Manager (she/her)
Ask me about:
- C2 Assistance and KPI tracking
- Reporting needs
- Personalized support for your team
- 1-on-1 sessions for tech support or support with client care standards
Liz Richardson, Emerging Partner Manager (she/her)
Ask me about:
- C2 Assistance and KPI tracking
- Reporting needs
- Personalized support for your team
- 1-on-1 sessions for tech support or support with client care standards
Adell Whitehead, Training Manager (she/her)
Ask me about:
- Required trainings for the year for CBWs
- C2 training in the Learning Management System
- Logging in to the Learning Management System
- Other training needed
Brandy Marsh, Data Manager (she/her)
Ask me about:
- Reading your data dashboards
- Data migration from CCS (for past partners)
- Data validation help
Michael Whalen, IT Manager (he/him)
Ask me about:
- C2 technical assistance
- Logging in to C2
Mitchell Imholt, Communications and Client Engagement Manager (he/him)
Ask me about:
- How to talk about your involvement in the hub
- BHT logo or any other materials you may need
Lucille Hanson, Referral Coordinator (she/her)
Ask me about:
- Referrals that may need to be redirected
- Outgoing referrals to other partners or services
Contracted Partner Resources
How to use Connect2Coordinator (C2)
Our Client Management System helps us screen for all the needs of our clients, not just the urgent ones. Screening can sometimes seem long and tedious, but it can help identify more hidden needs that the client may not even realize they have until they are asked directly.
Let's get to training! Meet our learning management system (LMS)
BHT provides training opportunities so CBWs can meet statewide and national standards. Minimum training for the year includes HIPAA and CBCC 101 trainings.
Community Care Hub Collaboratory Meetings
In addition to onboarding support, CBWs and supervisors will gather monthly starting in March to connect, learn, and collaborate across the Hub network.
More Opportunities to Engage
Better Health Together also offers additional ways to engage, including participation in our Community-Based Workforce Network, Community Voices Council, and Tribal Partners Collaborative.