CMS CY2026 care-coordination update: APCM BHI add-ons and individual-code transition for FQHCs/RHCs
CMS says that, starting January 1, 2026, FQHCs and RHCs may report optional G0568, G0569, or G0570 when qualifying psychiatric CoCM or general BHI is furnished in the same month as APCM; an APCM base code is required in that month. CMS also replaced the FQHC/RHC bundled-code pathway for G0512 and G0071 with reporting of the applicable individual care-coordination codes beginning January 1, 2026.
Payment is not automatic: verify beneficiary eligibility, the base service, consent, service elements, documentation, code combinations, and current MAC guidance before implementation.
Part of
- Medicare payment and value-based care
Care-management codes and telehealth
- Behavioral-health integration and capacity
Integration and payment
Key points
- G0568, G0569, and G0570 are optional add-ons and require an APCM base code in the same month.
- G0512 and G0071 are no longer reportable beginning January 1, 2026; use the applicable individual codes under current CMS rules.
- Treat the policy as a workflow-and-documentation review, not as guaranteed revenue.
Sources for this story
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FQHC Talent. (2026, May 31). CMS CY2026 care-coordination update: APCM BHI add-ons and individual-code transition for FQHCs/RHCs. Source: Centers for Medicare & Medicaid Services (CMS). Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/cy2026-apcm-bhi-codes-fqhc-revenue-strategy
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