AUGUST 2025 PLAN UPDATE:
CCHP is exiting the Individual and Family Plan (IFP) market at the end of this year. We will continue to serve their Medicaid population (BadgerCarePlus), which makes up the vast majority of our membership.
New appointments for CCHP IFP members will not be scheduled after August 31, 2025.
Foodsmart will honor one final appointment, if already scheduled for the year of 2025.
Registered members will have access to the Foodsmart app and web platform to view information through the end of 2026.
NOTE: During initial CCHP visits, please ensure they are signed up for the Foodsmart app or web based product. This is critical for the success of this program and impacts patient volume - thanks!
Type: Medicaid - Social Determinant of Health
Program Goal: Reduced cost of care through healthier members
Target Population: Adults and pediatrics
States Served: WI
RD Requirements:
Health Plan Credentialing | State Medicaid Enrollment | Foodsmart Credentialing Requirements |
CAQH Application - Profile Updated |
| Medallion Credentialing Application |
Benefits Overview:
Video Required | # of Allowed Visits | # of Allowed Units per Visit | Schedule Cadence | Billing Codes | Foodsmart Program Features |
Yes, but audio allowed if member does not have video technology | Clinically Appropriate | Initial: 4 units Follow Up: 4 units
| 2nd Visit: 1 week after initial
Other Visits: Aim for 1x/week and needs to be medically appropriate | New patient visits 99202: 15-29 min 99203: 30-44 min 99204: 45-59 min 99205: 60-74 min Established patient visits 99212: 10-19 minutes (minimum) 99213: 20-29 min 99214: 30-39 min 99215: 40-54 min (and beyond) | Foodsmart app, Telenutrition |
Billing Codes:
(Updated as of 7/29/24)
Our contract with CCHP uses a different snt of CPT codes than the traditional MNT CPT codes of 97802 and 97803.
In a traditional setting, these codes are used on both the basis of complexity and on basis of time.
Because we want to maintain standardization across notes, we've received guidance from CCHP to go back to using time as the determinator of what codes to bill, instead of complexity, as we've been doing for the first half of the year.
As with any other plan, it is imperative that your note contains visit start and end times and total minutes spent providing MNT and that these numbers are reflected in both the units billed and the billing codes.
Every single note should contain accurate visit start and end times:
Visit Start Time: HH:MM, timezone
Visit End Time: HH:MM, timezone
Total minutes spent providing MNT: ___ minutes
For each of these codes, bill units per the 8-minute rule as usual (e.g. 1 unit = 8-22 min, 2 units = 23-37 min, 3 units = 38-52 min, 4 units = 53-67 min).
Physician Review for CCHP
For CCHP we are required to have our Medical Director review your charts before they can be sent for billing. We have built this workflow directly into FFD.
When you go to submit your chart for CCHP members, you will now see an option to “Send to physician for review” and will not be able to select “Finalize and submit to billing”.
Once you send this to our MD, he will either submit the claim on your behalf or provide feedback on something that needs to be fixed in your chart. If changes are needed, you will see a task show up with comments You will then be able to fix the chart and re-submit in the same way.
RD Assessments:
Nutriquiz | SNAP Required | Risk Assessment Required |
Recommended before the 2nd visit and every 3 months | Eligibility should be checked frequently | No |
Food Benefits:
Foodsmart Bucks | Foodboxes/MTM | Food Selection Instructions |
$50 for initial $25 for all follow up visits
As of 2/10/26 any new members (who had never provided their payment method to Foodsmart before 2/10/260) will receive the following FS bucks.
Initial Visit= $0 2nd Visit= $75 3rd Visit and all follow ups: $25
| NONE |
|
Please see the following link of Overview of Health Plans for info on all health plans.