Question 1

What insurance policy changes affect HCPCS H2015?

Accepted Answer

There are 6 tracked policy changes affecting HCPCS H2015, including updates from CareSource, MassHealth, Nebraska Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for HCPCS H2015?

Accepted Answer

Payers that have issued tracked updates for HCPCS H2015 include: CareSource, MassHealth, Nebraska Medicaid, Kentucky Medicaid, Oregon Health Plan.

Question 3

How do I get notified when HCPCS H2015 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to HCPCS H2015. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for HCPCS H2015?

Accepted Answer

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

H2015 Insurance Policy Changes

[Georgia] CareSource Policy and Prior Authorization changes

[Georgia] Prior Authorization Requirement Update

Managed Care Entity Bulletin 134: Coverage of Peer Recovery Coach for Pregnant and Postpartum Members and Recovery Support Navigator for Pregnant and Postpartum Members

Removal of Third-Party Liability Edits

Appendix K Supplemental Rate

Notice of intent – OHA will amend the Oregon’s Alternate Benefit Plan to include community violence prevention services - Comments due 3/10/2023