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Attention providers
Effective for dates of service on and after July 1, 2025, the Health Care Authority (HCA) updated the Community Health Worker (CHW) Services Billing Guide. Updates include:
- Allowing the first visit to be delivered in person or via audio-visual or audio-only telemedicine without prior authorization.
- Clarifying who may bill for community health integration (CHI) and principle illness navigation (PIN) services.
- Clarifying limitations in the Coverage Table for HCPCS codes G0019, G0022, G0023, and G0024.
See the What has changed? table in the updated billing guide for a complete list of changes. The updated billing guide may be viewed and downloaded from HCA’s Provider billing guides and fee schedules webpage.
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