The Partnership, joined by representatives from the ACL and CMS, hosted a webinar event that detailed the CY 2024 PFS final rule sections that are pertinent to Medicare providers and CBOs screening for and addressing upstream drivers of health, reviewed the implementation requirements for CHI and PIN services, and outlined new learning opportunities available for organizations, hospitals, and providers interested in implementing new models of care.
The CY2024 Physician Fee Schedule Final Rule was published on November 2, 2023 and includes significant changes to the Medicare benefit structure. Most notably, there are new services to address upstream drivers of health including CHI, Social Determinants of Health(SDOH) Risk Assessment, and PIN services.
There are also provisions to support Medicare providers contracting with community care hubs (CCHs) and community-based organizations(CBOs) to address upstream drivers of health for priority populations. These codes are the first that are specifically designed to describe services involving community health workers, care navigators, and peer support specialists, and that allow these services to be provided by personnel employed by CCHs/CBOs under the general supervision of the billing practitioner.
The Partnership to Align Community Care, joined by representatives from the Administration for Community Living (ACL) and the Centers for Medicare and Medicaid Services (CMS), hosted a webinar event that detailed the CY 2024 PFS final rule sections that are pertinent to Medicare providers and CBOs screening for and addressing upstream drivers of health, reviewed the implementation requirements for CHI and PIN services, and outlined new learning opportunities available for organizations, hospitals, and providers interested in implementing new models of care.
