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 migrant and seasonal farmworkers and their dependents. 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 farmworkers which provides health education and disease prevention services to improve the quality of life of the farmworker 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.

Farmworkers in the region pick shade tobacco (used to wrap cigars), apples and other fruits and vegetables. Farmworkers are also employed in nurseries and sod farms in both states. An estimated 21,000 migrant and seasonal farmworkers and their dependents live within the Connecticut River Valley.

Who qualifies for payment of medical services?

Migrant and seasonal farmworkers and their dependents who do not have health coverage are eligible for medical payments under the CRVFHP while present in the Connecticut River Valley.

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

A seasonal farmworker 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 farmworker for the last twenty-four (24) months.

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

farmworker with tobacco

farmworkers outside

What are migrant & seasonal farmworker medical needs?

Farmworkers in the Connecticut River Valley suffer from many of the same health ailments as the national farmworker population. Nationally, farmworkers 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

The farmworker 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 01107

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

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

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

Esta información está disponible en español 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.


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