MedicaidAdministrativeMedium impact
Coming Soon: Important Policy Reminders and Clarifications for Covered Medi-Cal CHW Services
Medi-Cal·CA · Family Medicine, Internal Medicine, General Practice +1 more·Specialty Services
We identified it
May 3, 2026
Summary
California DHCS is updating the Medi-Cal Provider Manual to clarify billing requirements for Community Health Worker (CHW) preventive services, including individual and group billing procedures using specific CPT and HCPCS codes, and telehealth usage guidelines.
Action Required
Monitor for upcoming Medi-Cal Update publication: Billing team should watch for the updated provider manual sections that will provide specific billing requirements for CHW services using CPT codes 98960-98962 and HCPCS codes G0019 and G0022. Review the Community Health Workers web page on DHCS website for current guidance and prepare to update billing procedures once the detailed manual is released.