List of Non-Billable and Non-Visit-Based Care and Services (Care STEPs) for Documentation in Oregon’s APCM Community Health Centers
| New Visit Types |
| Home visit (billable encounter) |
| Home visit (non-billable encounter) |
| Online portal engagement* |
| Advanced technology interactions* |
| Health and wellness call |
| Patient Care Coordination and Integration |
| Clinical follow-up and transitions in care setting |
| Coordinating dental care |
| Warm hand-off |
| Behavioral health and functional ability screenings* |
| Education, Wellness, and Health Promotion |
| Care gap outreach* |
| Health education supportive counseling |
| Education provided in group setting |
| Support group participation |
| Exercise class participation |
| Reducing Barriers to Health |
| Case management |
| Transportation assistance |
| Accessing community resource/service |
| Social determinants of health screening (integrated in 2017) |
Care STEPs, care and services that engage patients; APCM, Alternative Payment and Advanced Care Model.
↵* Indicates that there was a standardized way for capturing in the electronic health record before APCM implementation.