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 Care Coordination Agencies

What is a Care Coordination Agency?

The HUB, by definition is a neutral entity that does not directly provide care coordination services. Our Care Coordination Agencies (CCA) join the Bridges to Wellness HUB to access a common system by referring and connecting clients with various community resources, social services, and even healthcare providers. While being a contracted partner, our CCAs agree to use the PHCI® Model for data collection in a standardized way – including data collection tools, standard pathways to track risk factors, and standard reports. The CCAs then assign Community Health Workers (CHW's) to serve clients in the community and enroll them to Bridges to Wellness Program.

National HUB certification through the Pathways Community HUB Institute (PCHI HUB Institute) is becoming a greater focus and requirement of funders and policymakers.

Our Partner Care Coordination Agencies


If you are interested in being a Partner Care Coordination Agency, please contact:

Paige Dugan at

Is your Agency Interested in Becoming a Partner in the Following Counties?


We may have Start-up Funds Available!!

Our Testimonials

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"Our greatest success would be that the CHW was able to secure a wheelchair for Tomas through Millers Medical Home Equipment, which was approved through his health insurance". Explained by a representative with the Department. "Due to securing the wheelchair, the client and family were finally able to take the whole family to the local park, which had not occurred before."

"They were so excited to be able to bring him with them! You could see the excitement on their faces," added the CHW.

The CHW continues to have a close relationship with the family, and they know they can reach out if any other needs arise.

Paige Dugan, BTW HUB Director

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