Pick up the need
Needs identified at the initiating visit are turned into navigation tasks.
Behavioral & socialCHI
Social needs block treatment plans every day. CHI pays for trained community health workers to help patients address the barriers that keep them from care — and to connect them with local resources. We help run needs assessment follow-up, navigation tasks and closed-loop documentation.
Who qualifies
Eligibility is confirmed against your own population before a pilot group is approached.
- 01
An initiating visit in which the practitioner identifies unmet social needs
- 02
Those needs significantly limit the ability to diagnose or treat the problem
- 03
Services performed by certified or trained auxiliary personnel, such as community health workers
- 04
Consent documented before services begin
What your patients experience
- Someone who helps with rides, food or benefits
- Connections to local programs that fit
- Follow-up until the need is met
- Care plans that fit real life
How we run it
Your clinicians keep every clinical decision. We run the operations around them.
Plan with the patient
Goals are set around the barrier that matters most to the patient.
Connect to resources
Referrals to food, housing, transport and benefit programs are made and tracked.
Close the loop
We confirm whether the resource actually helped and update the plan.
Document
Time and activities are logged for practitioner review.
Stays with your clinicians
The initiating visit, clinical goals and supervision remain with the billing practitioner.
What your practice receives
- SDOH needs follow-up queue
- Community resource directory upkeep
- Closed-loop referral tracking
- Time logs for auxiliary staff
Billing reference
Listed as published for calendar year 2026 under the Medicare Physician Fee Schedule. Requirements, documentation rules and payer policies change — confirm current CMS and payer guidance with your billing team. Carevory does not guarantee reimbursement. CHI billing codes
| Code | What it covers |
|---|---|
| G0019 | First 60 minutes per calendar month |
| G0022 | Each additional 30 minutes |
Carevory does not guarantee reimbursement. Confirm current CMS and payer guidance with your billing team before you bill.
Often combined with
The same minutes are never counted toward two programs — time is logged against one at a time.
FAQ
What practices ask before launching CHI.
CHW staffing, training and local presence are scoped per engagement. Many practices pair their own local CHWs with our remote navigation support.
We maintain a directory for your service area and verify programs before referring patients.
Your clinicians, or qualified clinical staff working under your supervision and protocols where contracted. Carevory runs the operations around them: eligibility, enrollment, outreach, scheduling, queues, documentation and reporting.
No. Payer rules, documentation and clinical decisions determine payment. We help you meet program requirements and give you clean records for billing review.
Start with one workflow
Tell us about your patient population, systems and staffing. We'll scope a pilot group, the workflow and the reporting you'd see each month.
Business inquiries only. Please don't include patient information.