New Resources and Webinar on Medicare Codes to Address Health-Related Social Needs
12:00 PM - 1:00 PM Eastern
Event Description
As part of the 2024 Physician Fee Schedule final rule, the Centers for Medicare & Medicaid Services (CMS) released a Medicare Learning Network Booklet that outlines four services in the Physician Fee Schedule intended to address health equity priorities, including new service codes for community health integration (CHI) and principal illness navigation (PIN).

These new service codes provide a direct pathway for reimbursement for work performed by auxiliary personnel, including community health workers, to the Medicare provider. In addition, the Physician Fee Schedule allows providers to contract with community-based organizations, such as area agencies on aging and centers for independent living, to provide staffing to address identified health-related social needs.

To support community-based organizations and health care providers in the delivery of reimbursable CHI and PIN services, the Partnership to Align Social Care (Partnership) developed a resource document: "Understanding the Medicare Physician Fee Schedule Billing Codes for Community Health Integration (CHI), Principal Illness Navigation (PIN), and Principal Illness Navigation – Peer Support (PIN-PS) Services." This resource provides an overview of the core concepts required to implement CHI and PIN services.

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