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Ambetter Health of Delaware Billing Code Update for various HCPC H Codes: Effective 01/01/2027
Effective date
Jan 1, 2027
Identified
Nov 4, 2026
Summary
Effective January 1, 2027, Ambetter Health of Delaware will stop covering 45 HCPCS H codes (H0003–H0047, H1011, H2001–H2033) and will begin covering HCPCS code H0006. The practice must stop billing the discontinued codes to Ambetter Delaware members and update charge entry and claim submission processes to reflect coverage changes.
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What to do
Action · 5 steps
01Billing team: Update charge entry and claim edits to stop submitting the 45 discontinued H codes (H0003–H0047, H1011, H2001–H2033) for Ambetter Health of Delaware members; claims without this change will be denied.
02Billing team: Update charge entry to include HCPCS code H0006 as covered for Ambetter Delaware members beginning 2027-01-01.
03Tell providers and front desk staff which H codes are no longer covered and which service H0006 now covers.
04For any patient who requests a discontinued service after 2027-01-01, inform them of non-coverage; do not bill Ambetter for those codes.
05Watch for any payer notice clarifying which services H0006 replaces or what services the practice should bill instead.
Codes mentioned
H0003H0004H0005H0007H0008H0009H0010H0011H0012H0013H0014H0016H0019H0021H0024H0026H0027H0028H0029H0030H0034H0037H0039H0040H0041H0042H0043H0044H0045H0046H0047H1011H2001H2010H2011H2012H2013H2015H2016H2018H2021H2022H2028H2029H2030H2031H2032H2033H0006
Original notice
Ambetter Health of Delaware Billing Code Update for various HCPC H Codes: Effective 01/01/2027
ambetterhealth.com · Always check the source before changing claims.
Related changes
See all Ambetter changes →Ambetter Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027MediumEffective Jan 1, 2027 · Claims & BillingAmbetter Health Billing Code Update for various HCPC H Codes: Effective 01/01/2027HighEffective Jan 1, 2027 · Claims & BillingAugust Provider NewsletterHighEffective Jan 1, 2027 · Provider BulletinJune 2026 NewsletterHighEffective Jan 1, 2027 · Provider BulletinBrowse every Ambetter change in the policy list
Related policy hubs
Ambetter policiesDE policy changesPsychiatryOccupational TherapySpeech TherapyPalliative CareCode H0003Code H0004Code H0005Code H0007Code H0008Code H0009Code H0010Code H0011Code H0012Code H0013Code H0014Code H0016Code H0019Code H0021Code H0024Code H0026Code H0027Code H0028Code H0029Code H0030Code H0034Code H0037Code H0039Code H0040Code H0041Code H0042Code H0043Code H0044Code H0045Code H0046Code H0047Code H1011Code H2001Code H2010Code H2011Code H2012Code H2013Code H2015Code H2016Code H2018Code H2021Code H2022Code H2028Code H2029Code H2030Code H2031Code H2032Code H2033Code H0006