H0028 Insurance Policy Changes

HCPCS H0028 is officially defined as "Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment." HCPCS H0028 is referenced in 25 tracked payer policy changes from Ambetter. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS H0028 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.