What insurance policy changes affect HCPCS H0046?

There are 31 tracked policy changes affecting HCPCS H0046, including updates from Ambetter, Virginia Medicaid - DMAS, Oregon Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS H0046?

Payers that have issued tracked updates for HCPCS H0046 include: Ambetter, Virginia Medicaid - DMAS, Oregon Health Plan, Minnesota Medicaid (MHCP), Harvard Pilgrim Health Care, Aetna.

How do I get notified when HCPCS H0046 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS H0046. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for HCPCS H0046?

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.

H0046 — Mental health services, not otherwise specified: Insurance Policy Changes

H0046 Insurance Policy Changes

HCPCS H0046 is officially defined as "Mental health services, not otherwise specified." HCPCS H0046 is referenced in 31 tracked payer policy changes from Ambetter, Virginia Medicaid - DMAS, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS H0046 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Behavioral Health Services Redesign Implementation Dates

Virginia Medicaid - DMAS·Effective Jun 30, 2027

Virginia Medicaid is redesigning behavioral health services, retiring four Community Mental Health Rehabilitative Services (CMHRS) codes (H2012, H2016, H0046, H2017) effective June 30, 2027, and implementing five new behavioral health service codes (CPST-Adult, CPST-Youth Community, CPST-Youth School, CSC, Clubhouse) effective July 1, 2027. All current members receiving the retiring services must transition to alternative behavioral health services by the deadline. The practice must update provider enrollment, verify credentials, and prepare for service authorization transitions over the next 6-12 months.

H0046 Insurance Policy Changes

Ambetter Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Coordinated Care Corporation Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter of Illinois Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Buckeye Health Plan Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter of Tennessee Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Absolute Total Care Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter of Oklahoma Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from SilverSummit Healthplan Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from WellCare of New Jersey Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter of North Carolina Inc. Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Magnolia Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Home State Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Meridian Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Louisiana Healthcare Connections Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from WellCare of Kentucky Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Peach State Health Plan Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Arizona Complete Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter from Arkansas Health & Wellness Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter of Alabama Billing Code Update for various HCPC H Codes: Effective 01/01/2027

Ambetter Health Billing Code Update for various HCPC H Codes Effective 01/01/2027

Ambetter from Superior HealthPlan Billing Code Update for various HCPC H Codes Effective 01/01/2027

Ambetter from Sunflower Health Plan Billing Code Update for various HCPC H Codes Effective 01/01/2027

Behavioral Health Services Redesign Implementation Dates

1915(i) Community Based Integrated Supports (CBIS) Authorization Process

Early Intensive Developmental and Behavioral Intervention (EIDBI) claim denials for services billed with CPT code H0046 UB resolved

Update on H0032 and H0046 reimbursement rates for EIDBI services

Billing updates for mental health centers

Update: Early Intensive Developmental Behavioral Intervention claim denials for Comprehensive Multi-disciplinary Evaluation (CMDE) services (CPT codes 97151 UB, H0046 UB, T1024 UB)

Home Behavioral Healthcare Services (CPB 0730, reviewed 2026-10-21)