The Community HealthCare Association of the Dakotas (CHAD)
is a membership organization of the North Dakota and South Dakota community
health centers dedicated to assuring high-quality primary health care through
public policy and community-driven health services.
Community Health Centers (CHCs) are dedicated to providing the
components of a medical home to all in need: care that is accessible,
continuous, comprehensive, patient-centered, coordinated, compassionate, and
culturally sensitive. Community health
centers are located in medically underserved, rural and urban areas throughout
the Dakotas to provide primary and preventive care for the community residents who
To achieve high-quality primary healthcare, CHAD supports these
Increased Access to Care / Healthcare Safety Net
CHAD supports access to high-quality primary care services
and a medical home for all in need, regardless of the ability to pay. CHAD advocates being a resource and partner
in health care reform and supports provisions of the Affordable Care Act for
expansion of community health centers to increase the Healthcare Safety Net,
Medicaid expansion and insurance coverage to eliminate barriers and empower
people to obtain comprehensive, primary care.
Reimbursement for Services
CHAD supports the expansion of public financing, and timely
and improved reimbursement rates for services provided to underinsured and uninsured
patients. The Medicaid, Medicare, and
Marketplace Insurance Programs guarantee of coverage for low income, elderly
and disabled patients must be preserved and the Prospective Payment System rate
must be sustained or expanded to ensure access to care for all in need.
Increased Medical Workforce Capacity
CHAD supports programs and projects to bolster recruitment, increase
and sustain quality primary healthcare professionals to provide necessary care
to all in need. CHAD supports efforts to bolster the primary care workforce,
especially in the most rural parts of the Dakotas, where access to primary and preventive
care services are limited by geographical and other related issues.
Technology and Infrastructure Enhancement
supports enhanced technology and infrastructure for community health centers to
better serve people in need of care.
Advanced technology and infrastructure enables community health centers
to more efficiently deliver quality healthcare through improved care management.