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Medicare Reimbursement for Community-Integrated Health Networks

Community-Integrated Health Networks provide a unified and consistent approach to program delivery across a geographic area, either regional or statewide. Reimbursement rates for services related to Medicare can be complex. Use our resources to help your network navigate how to get reimbursed.
For Professionals
Discover financial education and advocacy tools you can use to help seniors budget, avoid scams and fraud, reduce debt, and read the latest research on senior economic security.

Navigating the Medicare Physician Fee Schedule Look-up Tool

Mar 17, 2021
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How to Obtain a Medicare Provider Number

Mar 01, 2021
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A Framework of Change For Successful Implementation of Medicare Part B Benefits

Feb 18, 2021
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Get Help Building A Community-Integrated Health Network

Community-integrated health care is more important than ever as older adults elect to age in place and community-based organizations deliver essential services. Explore resources for pursuing complex sustainability strategies and creating stronger linkages with the health care sector.

Health and Behavior Assessment and Intervention and Medicare Reimbursement

Information Resource: Health and Behavior Assessment and Intervention (HBAI) Services

Mar 01, 2018
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Readiness Review: Health & Behavior Assessment & Intervention (HBAI)

Feb 18, 2016

Documentation Packet: Health and Behavior Assessment and Intervention (HBAI)

Feb 15, 2021

Frequently Asked Questions: Health and Behavior Assessment and Intervention (HBAI) Services

Jun 14, 2017

Chronic Care Management and Medicare Reimbursement

Information Resource: Chronic Care Management

Feb 16, 2021
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Chronic Care Management (CCM) Readiness Review

Jul 03, 2018

Documentation and Billing Processes Guidance for Medicare Part B Benefits

Feb 14, 2019

Frequently Asked Questions: Chronic Care Management (CCM)

Feb 16, 2021

Medicare Resources

Learn the Basics About Medicare

May 14, 2021
A senior Black woman doctor is talking to a caucasian man about his health care options.

Contracting with Medicare Advantage Plans for Special Supplemental Benefits for the Chronically Ill

Jan 27, 2022
A close up shot of a whiteboard that has "healthcare benefits" inside a box with an equal sign and the word "what?" next to it, indicating confusion over what healthcare benefits are.

7 Medicare Advantage Quality Measures You Should Know

Jun 08, 2021
A close up shot of small wooden blocks lined side by side that have yellow stars engraved in them. One star has a figure over it and is off to the right, indicating a four-star review.

Becoming a Medicare Fee-For-Service Provider: What CBOs Need to Know

Aug 01, 2020
Medicare written in blocks with stethoscope

What’s Current in Medicare Reimbursement for Evidence-Based Programs

Mar 02, 2021
Dive into what the expansion of telehealth and other changes in the market means for Medicare reimbursement of evidence-based programs.

Understanding Medicaid Reimbursement for Evidence-Based Programs

Report: Reimbursement for Evidence-Based Health Promotion Programs in the Community

Oct 01, 2020
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Business Acumen “Office Hour”: Navigating Opportunities for Medicaid Payment for Evidence-Based Programs

May 01, 2021
A stethoscope is pictured, opened, with the words "Medicaid" in between.

Lessons Learned from Health Management Associates Report on Medicaid Reimbursement for Evidence-Based Programs

Dec 16, 2020
A close up shot of the parts of a stethoscope surrounding a white, porcelain piggy bank on a light blue background.

Medicaid Resources

Working with Your State Medicaid Waiver

Jan 01, 2019
A doctor's stethoscope sits on top of a stack of one hundred dollar bills.

Connecting with your State Medicaid Agency

May 12, 2021

Opportunities for Partnering with State Medicaid for CDSME Coverage

Sep 11, 2023

Covering the Cost of Chronic Disease Self-Management Education with Medicaid

May 12, 2021

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