Principal Illness Navigation (PIN) Services

230.2.8 - Principal Illness Navigation (PIN) Services (Rev. 12832; Issued: 09-12-24; Effective:01-01-24; Implementation:10-14-24) Effective January 1, 2024, RHCs and FQHCs are paid for PIN services when a minimum of 60 minutes of qualifying non-face-to-face PIN services are furnished during a calendar month. PIN services include health care navigation as part of the treatment plan for a serious, high-risk disease expected to last at least 3 months, that places the patient at significant risk of hospitalization or nursing home placement, acute exacerbation/decompensation, functional decline, or death.