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Mission: To improve access to quality community-based primary care and other health-related services for the migratory and seasonal agricultural worker populations in the Connecticut River Valley

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.

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
24-Hour Access: 413-794-0058; Office: 413-794-3295

Community Health Center, Inc.
675 Main Street
Middletown, Connecticut 06457
Sites also in: Enfield, Meriden and New Britain
24-Hour Access: 860-347-6971; Office: 203-237-2229 ext. 6098

Community Health Center of Franklin County
102 Main Street
Greenfield, Massachusetts 01301
Sites also in: Greenfield and Orange
24-Hour Access: 413-325-8500; Office: 413-325-8500 ext. 112

Community Health Services
500 Albany Avenue
Hartford, Connecticut 06120
24-Hour Access: 860-249-9625; Office: 860-808-8746

Generations Family Health Center
40 Mansfield Ave
Willimantic, Connecticut 06226
Sites also in: Danielson, Norwich and Putnam
24-Hour Access: 860-450-7471; Office: 860-450-7471 ext. 6301

Holyoke Health Center
230 Maple Street
P.O. Box 6260
Holyoke, Massachusetts 01040
Site also in: Chicopee
24-Hour Access: 413-420-2200; Office: 413-420-2100

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: every other Tuesday 5-9pm - April through October

Community Health Center, Inc.
Monday: 7am-7pm
Tuesday: 7am-7pm
Wednesday: 7am-7pm
Thurday: 7am-7pm
Friday: 8am-5pm
Saturday: 8am-4pm
Camp/Field: every other Tuesday 5-9pm

Community Health Center of Franklin County
Monday: 7:30am-5pm
Tuesday: 7:30am-5pm
Wednesday: 7:30am-5pm
Thurday: 7:30am-6pm
Friday: 7:30am-5pm
Camp/Field: every Thursday 5-9pm

Community Health Services
Monday: 8am-5:30pm
Tuesday: 8am-5:30pm
Wednesday: 8am-8pm
Thurday: 8am-5:30pm
Friday: 9:30am-5:30pm
Camp/Field: every other Tuesday 5-9pm

Generations Family Health Center
Monday: 7:30am-6:30pm
Tuesday: 7:30am-6:30pm
Wednesday: 7:30am-6:30pm
Thurday: 7:30am-6:30pm
Friday: 7:30am-5:30pm
Saturday: 8am-5:30pm
Camp/Field: every other Tuesday 5-9pm

Holyoke Health Center
Monday: 8:30am-6:30pm
Tuesday: 8:30am-4:30pm
Wednesday: 8:30am-6:30pm
Thurday: 8:30am-4:30pm
Friday: 8:30am-4:30pm
Camp/Field: every other Tuesday 5-9pm

Esta información está disponible en espańol también.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H80CS00152: Health Center Program (total award amount of $1,264,900; 0.16% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

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