In a first-ever study of HCH team composition, the Minnesota Community Health Worker Alliance and University of Minnesota joined in a community-university research partnership to identify barriers and facilitators to CHW integration. This research fills a gap in understanding drivers of HCH team structure and composition. In view of Minnesota’s head-start in primary care transformation based on 2008 health reform legislation, lessons learned from this state’s experience can help inform implementation of team-based models elsewhere in the U.S. Building on study findings and other key factors, recommended action steps offer pathways to bring the benefits of CHW integration to more HCH patients and teams.