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Verified CHW details
Community Health Worker Medicaid Billing
Verified Medicaid community health worker billing details are available for Indiana, Michigan, Minnesota, North Dakota, New York, and Washington.
What is available
What is available
Billing details are verified for Indiana, Michigan, Minnesota, North Dakota, New York, and Washington. Other CHW states do not have verified rates and billing requirements.
- Status
- partly verified
- Source checked
- IN/MI/MN/ND/NY/WA verified; other CHW billing paths unverified
- Last updated
- 2026-06-30
States with official sources
Each state links to an official source and lists remaining billing checks.
California
Medi-Cal Community Health Workers
California publishes Medi-Cal community health worker preventive-services guidance and related provider resources. CHW rates and billing steps are unavailable.
Minnesota
Minnesota Health Care Programs Community Health Worker
Minnesota publishes MHCP community health worker guidance and official fees for 98960, 98961, 98962, G0019, and G0022. The listed billing details are verified. Check the payer for any additional requirements.
Louisiana
Louisiana Department of Health CHW Medicaid Billing Overview
Louisiana publishes a CHW Medicaid billing overview using 98960, 98961, and 98962 under an incident-to model. Current rates and complete billing instructions are unavailable.
Washington
Washington HCA Community Health Workers Billing Guide
Washington publishes a 2026 Apple Health CHW billing guide and fees for G0019, G0022, G0023, G0024, and S9446. The listed fee-for-service billing details are verified. Managed-care plans and other settings may require additional steps.
Michigan
MDHHS Community Health Worker provider billing and reimbursement
Michigan publishes official CHW policy and January 2026 fees for 98960, 98961, and 98962 with modifier CG. The listed billing details are verified. Check the payer for any additional requirements.
Indiana
IHCP Professional Fee Schedule
Indiana publishes official IHCP fees for CHW preventive-service codes 98960, 98961, and 98962. The listed billing details are verified. Managed care entities may require additional steps.
North Dakota
North Dakota Medicaid CHW Services Billing and Policy Manual
North Dakota publishes CHW billing policy and a 2026 professional fee schedule for 98960, 98961, and 98962. The listed rows include combined daily and annual unit limits.
New York
eMedNY Provider Policy Manual: Community Health Worker Services
New York publishes an eMedNY CHW policy manual with 98960, 98961, and 98962 rows, U1/U3 or CVP modifier-order rules, and annual unit limits.
South Dakota
South Dakota Medicaid CHW Services Billing and Policy Manual
South Dakota publishes CHW billing policy and SFY 2026 fees for 98960, 98961, and 98962. Current rates are unavailable because the cited file ended on June 30, 2026, and a newer state file has not been verified.