What is the Connecticut River Valley Farmworker Health Program?

The Connecticut River Valley Farmworker Health Program (CRVFHP) is a valley-wide project of the Massachusetts League of Community Health Centers that pays for some primary health care services to qualified migratory and seasonal agricultural workers (MSAWs) and their families. The program is offered through participating health centers and other health care providers in Connecticut and Massachusetts.


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Map of Health Care Access Sites

What outreach services are provided?

The CRVFHP includes an outreach component adapted to the language and culture of the agricultural workers which provides health education and disease prevention services to improve the quality of life of the agricultural worker and his/her family. When necessary, the outreach team provides transportation to medical appointments and makes referrals to other social and health services.



What is the Connecticut River Valley region?

The Connecticut River Valley is the largest agricultural region in New England. Running north to south along the Connecticut River, it extends from the Vermont border of Massachusetts to the Long Island Sound.

Agricultural workers in the region pick shade tobacco (used to wrap cigars), apples and other fruits and vegetables. Agricultural workers are also employed in nurseries and sod farms in both states. An estimated 18,000 migratory and seasonal agricultural workers (MSAWs) and their families live within the Connecticut River Valley.

Who qualifies for payment of medical services?

MSAWs and their families who do not have health coverage or are underinsured are eligible for medical payments under the CRVFHP while present in the Connecticut River Valley.

A migratory agricultural worker is someone whose principal employment is seasonal agricultural work and who moves to temporary housing to seek agricultural work. This includes anyone who has been employed as a migratory agricultural worker within the last twenty-four (24) months.

A seasonal agricultural worker is an individual whose employment is in agriculture on a seasonal basis (as opposed to year-round employment) and who does not establish a temporary home for the purposes of employment. This includes anyone who has been employed as a seasonal agricultural worker for the last twenty-four (24) months.

Only MSAWs employed in the direct farming of seasonal crops are eligible. Agricultural work means cultivating, harvesting, or preparing seasonal crops for market or storage.

farmworker with tobacco

farmworkers outside

What are migratory & seasonal agriculutral worker medical needs?

Agricultural workers in the Connecticut River Valley suffer from many of the same health ailments as the national agricultural worker population. Nationally, agricultural workers may suffer from high rates of diabetes, chronic hypertension and dental disease. Occupational exposures to pesticides are a risk factor for many illnesses. Common conditions include musculoskeletal problems, dermatitis and rashes, headaches, and eye problems.

What medical services will the CRVFHP pay for?

  • Primary care services:
    • Outpatient physician visits
    • Diagnostic laboratory & X-ray services
    • Screenings & immunizations
    • Outpatient mental health & substance abuse services
    • Vision care
  • Dental care
  • Pharmacy services

MSAWs and their families may be asked to pay a co-payment for each visit. However, services will not be denied because of inability to pay.

farmworker at dentist office

farmworker with nurse practitioner

Is there a choice of health care providers?

Yes. There are many participating health centers and health care providers that provide quality care and social services in the Connecticut River Valley.

outreach at farm outreach worker with farmworker

Who are the participating health care access points?

Baystate Brightwood Health Center
380 Plainfield Street
Springfield, Massachusetts 01199

Community Health Center of Franklin County
489 Bernardston Road, Suite 108
Greenfield, Massachusetts 01301
413-325-8500 ext. 157

Community Health Center, Inc.
5 North Main Street
Enfield, Connecticut 06082
860-253-9024, ext. 5140

Community Health Services
500 Albany Avenue
Hartford, Connecticut 06120

Generations Family Health Center
40 Mansfield Ave
Willimantic, Connecticut 06226
860-450-7471, ext. 6300

Holyoke Health Center
230 Maple Street
P.O. Box 6260
Holyoke, Massachusetts 01040

When are the health care sites open?

Baystate Brightwood Health Center
Monday: 8am-5pm
Tuesday: 8am-8pm
Wednesday: 8am-8pm
Thurday: 8am-8pm
Friday: 8am-5pm
Camp/Field: Monday - Thursday 6-9pm Mobile Unit: Days alternate each week from May - October

Community Health Center of Franklin County
Monday: 7:45am-4:30pm
Tuesday: 7:45am-4:30pm
Wednesday: 7:45am-4:30pm
Thurday: 7:45am-6pm
Friday: 7:45am-4:30pm
Extended: Monday - Three Thursdays a month from April - October

Community Health Center, Inc.
Monday: 7am-7pm
Tuesday: 7am-7pm
Wednesday: 7am-7pm
Thurday: 7am-7pm
Friday: 8am-5pm
Saturday: 8am-4pm
Extended: Monday (Meriden) & Wednesday (Enfield) from 4:30-6:30pm from May - October

Community Health Services
Monday: 8:30am-5:30pm
Tuesday: 8:30am-5:30pm
Wednesday: 8:30am-8:30pm
Thurday: 8:30am-5:30pm
Friday: 9:30am-5pm
Saturday: 9am-1pm

Generations Family Health Center
Monday: 7:30am-6:15pm
Tuesday: 7:30am-6:15pm
Wednesday: 7:30am-6:15pm
Thurday: 7:30am-6:15pm
Friday: 7:30am-5:30pm
Saturday: 8am-4pm
Extended: Monday (Meriden) & Wednesday (Enfield) from 4:30-6:30pm from May - October
Camp/Field: Friday from 8:30am-3:30pm twice per month
Mobile Unit: 9 months a year on the first Friday of every month

Holyoke Health Center
Monday: 9am-4:30pm
Tuesday: 9am-4:30pm
Wednesday: 9am-4:30pm
Thurday: 9am-4:30pm
Friday: 9am-4:30pm
Camp/Field: Monday from 7-10pm from June - November

Esta información está disponible en espańol también.

The Connecticut River Valley Farmworker Health Program is funded with a grant from the Bureau of Primary Health Care, Health Resources and Services Administration.


Patricia Edraos: Celebrating 36 years of outstanding service to health centers & the League