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Attention providers
Effective for dates of service on and after July 1, 2025, the Health Care Authority (HCA) has published a new Community Health Worker (CHW) Services Billing Guide. This is an early release of the billing guide. The CHW benefit will not be implemented until July 1, 2025. Please do not attempt to bill HCA for services until July 2025.
This new guide provides billing information for CHW services payable by HCA when provided to eligible clients. Sections in this new billing guide include client eligibility, covered and noncovered services, payment, and billing.
For more details, the new billing guide may be viewed and downloaded from HCA’s Provider billing guides and fee schedules webpage.
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