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 Centers for Medicare & Medicaid Services (CMS) Care Management website. 

This webpage includes information on:

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

New Services for 2024

Beginning in 2024, CMS has adopted new billing codes to support services that address health-related social needs. 

These services include:

• Caregiver Training Services (CTS)
• Community Health Integration (CHI) services
• Principal Illness Navigation (PIN) services
• Social Determinants of Health Risk Assessment (SDOH RA).

For additional details, read CMS.gov: Health-Related Social Needs FAQs (PDF)

Other Available Resources

• Centers for Medicare & Medicaid Services: Why CCM is Important and how CCM supports primary care (PDF)

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