Health Care Homes Incentives and Payments
CMS Medicare Billing Resources

Care Management

For a one-stop resource focused on Care Management services under the Physician Fee Schedule, visit the CMS Care Management webpage. This webpage includes information on:

• Advanced Care Planning
• Behavioral Health Integration
• Chronic Care Management (CCM)
• Transitional Care Management

New Services for 2024

A new set of codes adopted for payment in 2024 to further address health-related social needs include:  Caregiver Training Services (CTS), Community Health Integration (CHI) services, Principal Illness Navigation (PIN) services, and Social Determinants of Health Risk Assessment (SDOH RA).

• CMS.gov: Health-Related Social Needs FAQs (PDF)
• Health Equity Services in the 2024 Physician Fee Schedule Final Rule (PDF), found on the MLN9201074 webpage [CMS website]

Other Available Resources

• Why CCM is Important and how CCM supports primary care (PDF) [CMS website]

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