Revenue Recovery: CY2026 Opens New Medicare Care-Management Codes (APCM + 3 BHI Add-Ons) Billable by FQHCs — No Downside Risk

The CY2026 Physician Fee Schedule (CMS-1832-F, effective Jan 1, 2026) reshaped FQHC/RHC care-management billing — and most centers haven't operationalized it. Three actions: (1) Bill APCM monthly per-patient codes G0556 ($15.20), G0557 ($48.84), G0558 ($107.07) — centers shifted off G0511 on July 1, 2025; (2) Layer the three NEW behavioral-health-integration add-on codes G0568 (initial CoCM month), G0569 (subsequent CoCM), G0570 (general BHI) — billable alongside APCM with no time-based documentation requirement, making ~$263/patient/month achievable for complex BH-integrated patients; (3) Stop billing the now-sunset bundled codes G0512 and G0071 (Jan 1, 2026) and unbundle to the individual codes or lose the revenue. This is a no-downside-risk monthly revenue stream that directly offsets the July 2026 UIS-PPS loss — and it rewards the care-management and behavioral-health-integration work most CA FQHCs already do. See our Value-Based Care hub for the full code map; NACHC published a free 'VBC 101' staff resource and an APCM tip sheet to operationalize it.