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CHW partly verified · Michigan

Michigan Medicaid CHW billing

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. Official sources confirm the listed billing rules.

Verified rows only.
Do not use unresolved settings for billing.
No client details collected.

Official source status

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

Official payer source

MDHHS Community Health Worker provider billing and reimbursement

Publisher: Michigan Department of Health and Human Services. Source checked 2026-06-30.

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Requirements to verify

Billing requirements

Which Michigan CHW procedure code, CG modifier, billing provider association, need category, and managed-care path applies before selecting a claim line?

Credential requirements

Which MDHHS CHW certification, CHAMPS rendering association, licensed-provider recommendation, and documentation requirements must be recorded?