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.
- Medicare Fee-for-Service Caregiver Training Services (CTS) and Caregiver Health Risk Assessment (CHRA) Billing Guide - last updated April 2026
- Medicare Fee-for-Service Health-Related Social Needs (HRSN) Billing Guide - last updated April 2026
- Medi-Cal Fee-for-Service Caregiver Training Billing Guide (California only) - last updated November 2024
Use these codes during routine visits, Initial and Subsequent Annual Wellness Visits (AWV), Health Risk Assessments, follow-up visits, and more! CTS and CHRA codes are used to bill for providing training to and assessments of caregivers.
What These Codes Cover
- CTS and CHRA codes are used to bill for providing training to and assessments of caregivers.
- HRSN codes are used to bill for addressing upstream drivers (social and economic factors) that affect the patient’s health, which caregivers are often responsible for managing.
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) |