Under Priority 1 (Chronic Disease), CCDPH commits by 2030 to reduce chronic disease ED visits and mortality and to increase insurance coverage, primary care access, physical activity, and healthy housing. To achieve this, the plan outlines strategies such as enhancing insurance navigator programs, expanding community‑based health screenings and evidence‑based education (e.g., DPP, DSME, asthma self‑management), scaling tobacco cessation resources, strengthening Community Health Worker and care coordination capacity, and expanding reimbursable CHW services. It also calls for proactive healthy homes work, lead abatement, smoke‑free housing, affordable and supportive housing advocacy, and home weatherization and energy efficiency programs. These strategies imply upcoming program design and implementation work with external partners, including FQHCs, housing agencies, CBOs, and potentially vendors that can provide screening events, curriculum delivery, CHW training, reimbursement strategy, healthy homes assessments, and data tracking. No single vendor is chosen in the plan, so vendors in population health services, healthy homes and environmental assessments, CHW platforms, and care‑coordination tools have a window to help CCDPH and its partners set up pilots and infrastructure before procurement details are finalized.

Strategies reference leveraging Medicaid 1115 waiver, Medicare Physician Fee Schedule, 2‑1‑1, and th...