Michigan Medicaid: Community health workers billing

This blog post is educate the providers how to properly bill for community health workers.


The blog post applies to services provided in Federally Qualified Health Centers (FQHCs).


Proper Billing:

  • UB-04 claim form- attending NPI- Type 1- individual sole provider
  • Box 80- indicate the services performed- using the 4 digit code- click here to get the list
  • Modifier- CG- required for community health workers
  • Do not bill CHW services on a separate claim form if other providers performed services on the same DOS
  • Do not use G04xx code with CHW services if that is the only were performed

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