Billing Guide

The CAP-CT Caregiver Training Billing Guides are designed to help health care teams navigate reimbursement for caregiver training and education, allowing teams to more adequately address the comprehensive needs of caregivers. Use these codes during routine visits, Initial and Subsequent Annual Wellness Visits (AWV), Health Risk Assessments, follow-up visits, and more.

Medicare Fee-for-Service Caregiver Training Services (CTS) and Caregiver Health Risk Assessment (CHRA) Billing Guide

This guide explains how Medicare reimbursement works for caregiver training and caregiver health risk assessments. CTS and CHRA codes allow health care professionals to bill for the time spent training caregivers and assessing their needs.

Last updated April 2026.

Medicare Fee-for-Service Health-Related Social Needs (HRSN) Billing Guide

This guide outlines how health care professionals can bill Medicare for services that address social and economic factors affecting a patient’s health. HRSN codes allow health care professionals to bill for addressing upstream drivers (social and economic factors) that affect the patient’s health, which caregivers are often responsible for managing.

Last updated April 2026.

Medi-Cal Fee-for-Service Caregiver Training Billing Guide (California only)

This guide outlines how health care professionals can bill for caregiver training services under California’s Medicaid program, Medi-Cal. Providers outside of California should consult their state Medicaid program for comparable billing guidance.

Last updated November 2024.

Who counts as a health professional?

Certified Nurse-Midwives (CNM)

Physical Therapists (PT)

Clinical Nurse Specialists (CNS)

Physician Associates (PA)

Community Health Workers (CHW)

Physicians (MD, DO)

Marriage and Family Therapists (LMFT, MFT)

Psychologists (LP, CP)

Mental Health Counselors (LPCC, MHC)

Social Workers (LCSW, CSW)

Nurse Practitioners (NP)Speech-Language Pathologists (SLP)
Occupational Therapists (OT)