Is CHIP eligible for billing?
In some cases, yes.
This text (below) is taken directly from the United States Department of Labor, Employee Benefits Security Administration, and was revised January 9, 2014, in regards to the Affordable Care Act Implementation:
Public Health Service (PHS) Act section 2713 and the interim final regulations relating to coverage of preventive services(1) require non-grandfathered group health plans and health insurance coverage offered in the individual or group market to provide benefits for, and prohibit the imposition of cost-sharing requirements with respect to, the following:
- Evidenced-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF) with respect to the individual involved…
What constitutes a grade of an “A” or a “B”?
- Intensive behavioral counseling interventions to promote a healthful diet and physical activity – GRADE B
To read more, click the image below for the entire document:
The National Cancer Institute has deemed CHIP as a Research-Tested Intervention Program (RTIP) and has stated the following:
Here also are some updated ICD-10 codes for billing.
For more information regarding billing insurance for the CHIP program