US · guidance
CMS Pub. 100-02, ch. 13, § 230.2.8
Principal Illness Navigation (PIN) Services
Effective January 1, 2024, RHCs and FQHCs are paid for PIN services when a minimum
of 60 minutes of qualifying non-face-to-face PIN services are furnished during a calendar
month. PIN services include health care navigation as part of the treatment plan for a
serious, high-risk disease expected to last at least 3 months, that places the patient at
significant risk of hospitalization or nursing home placement, acute
exacerbation/decompensation, functional decline, or death.
230.2.9 PIN-Peer Support (PIN-PS) Services
(Rev.12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24)
Effective January 1, 2024, RHCs and FQHCs are paid for PIN-PS services when a
minimum of 60 minutes of qualifying PIN-PS services are furnished during a calendar
month. PIN-PS services include the treatment of high-risk behavioral health conditions.
History
(Rev. 12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
cc55320ac2f62fa76e1deb545111a20c2778cc9ec990470c10c2e5008010eebf
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