A note on how to read this FAQ: Q1 and Q4 reflect direct CMS requirements from the Health-Related Social Needs FAQs (Q4 also cites AAFP’s published interpretation). Q2, Q3, Q5 and Q6 reflect Bridge’s operational interpretation of CMS’s “time and effort cannot be double-counted” rule — they describe how we keep concurrent CHI and Care Management billing defensible in audit, rather than verbatim CMS-stated requirements.