Resources for care teams
By MySeema · Published November 10, 2026
A plain guide to CHI for physician practices, ACOs, and health systems: what it is, who qualifies, the codes, and what must be in place before you start.
Community Health Integration (CHI) is a Medicare service that addresses unmet social needs when they significantly limit a practitioner’s ability to diagnose or treat a patient’s medical problem. It starts with an initiating visit and is delivered by trained personnel under the practitioner’s supervision.
The CHI codes are G0019 and G0022.
| Code | Covers | 2026 national office benchmark |
|---|---|---|
| G0019 | Community support: First 60 minutes / month | $86.17 / patient month |
| G0022 | Community support: Each additional 30 minutes | $54.11 / additional 30 min |
Social needs must significantly interfere with diagnosis or treatment of the patient’s medical problem. An initiating visit, trained personnel, consent and required supervision are part of the service.
2026 Medicare allowed amounts, national office/nonfacility benchmark, non-QP conversion factor. Includes applicable patient cost sharing; before practice costs and MySeema fees. Actual collections vary with location, setting, clinician, coverage, and claim adjustments. See the rate source and estimate your practice.
Patient cost sharing and protections depend on coverage and the service. Explain them before consent. RHC/FQHC payment rules and Medicare Advantage contracts differ from the national benchmark.
Your clinicians keep clinical decisions and oversight, and your organization bills eligible services.
The benchmarks on this page are 2026 amounts. Medicare’s 2027 conversion factor is lower ($32.63 for most clinicians, down 2.31%), so 2027 payment amounts will differ. Read what the 2027 fee schedule changes.
No. CMS does not limit CHI by a community designation. The key question is whether an unmet upstream driver significantly limits the practitioner's ability to diagnose or treat the patient's medical problem.
No. CHI is tied to specific unmet needs identified in relation to medical diagnosis or treatment, with an initiating visit, service plan, qualified personnel, supervision, and documentation.
CHI begins with social or practical barriers that impede medical care. PIN begins with one serious, high-risk illness and the need to navigate its disease-specific care plan. A patient may have both kinds of need, but the services remain distinct.
This guide summarizes Medicare requirements for planning. It is not a billing manual or a promise of reimbursement. Confirm requirements with your billing and compliance teams.
Discuss the population and workflow you want to support, the responsibilities your team would retain, and the next steps for a proposed scope.