Robust, community-driven outreach models are critical for ensuring access to and utilization of health care services by underserved populations. However, under a traditional structure of payment for health services, many outreach activities and other enabling services are non-reimbursable. Over the past decade, there has been a national shift in the ways in which health care is delivered and reimbursed. New service delivery systems and alternative payment models afford health centers the opportunity to provide patient-centered care in a more flexible manner, including the use of health outreach programs. This resource highlights possible roles for outreach staff in alternative payment models such as shared savings, pay-for- performance (P4P), and patient centered medical home (PCMH) supplemental payments. It complements HOP’s Outreach Business Value toolkit, providing examples of how health centers can leverage outreach to earn payment for Triple Aim outcomes.