Medicare AdvantageAdministrativeLow impact
Psychiatric Partial Hospital Program Services - Medicare Advantage (Revised)
Humana·IL, MN, WI, CT, NY, ME, MA, NH, RI, VT, KY, OH, AL, GA, TN, NC, SC, VA, WV · Psychiatry·Medicare Advantage
Effective date
Sep 2, 2025
We identified it
Jun 24, 2026
Summary
This is an annual review of Humana's Medicare Advantage policy for psychiatric partial hospitalization programs with no coverage changes. The policy maintains existing requirements for PHP services, including minimum 20 hours per week of therapeutic services and medical necessity criteria based on CMS guidelines.
Action Required
No action required. This is an annual review with no coverage changes. Continue following existing billing procedures for psychiatric partial hospitalization programs using revenue codes 0900, 0904, 0910, 0912, 0913, 0914, 0915, 0916, 0918, and 0942.