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Health is not just driven by clinical care, but also by where you live, work, play and learn. ABHLA encourages the use of Z Codes to document Social Determinants of Health (SDOH). Effective 12/13/2021, ABHLA began reimbursing a flat rate incentive payment of $30 per claim for a one-time billing of specific Z Codes billed with CPT Code G9919* with 1 unit. (*G9919: Screening Performed and Positive and Provision of Recommendations)
All patients who are screened and SDOH needs are identified can be referred to ABHLA resources and/or linked to a care team member who can support the member in finding and accessing resources.
Learn more about Social Determinants of Health and screenings by visiting the following sites:
- https://www.cms.gov/newsroom/press-releases/cms-issues-new-roadmap-states-address-social-determinants-health-improve-outcomes-lower-costs
- https://health.gov/healthypeople/objectives-and-data/social-determinants-health
- https://www.cdc.gov/socialdeterminants/index.htm
- https://www.rwjf.org/en/our-focus-areas/topics/social-determinants-of-health.html
- https://www.aafp.org/dam/AAFP/documents/patient_care/everyone_project/hops19-physician-guide-sdoh.pdf