H2014 Skills train and dev, 15 min

Skills training and development, per 15 minutes

Medicare pricing for H2014

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for H2014

9 of 9 payer prior-auth lists that name H2014 require prior authorization or set conditions: Blue Shield of California, Blue Shield of California Promise Health Plan, Molina Healthcare of California, Molina Healthcare of Iowa, Molina Healthcare of Texas, UnitedHealthcare Community Plan.

PayerPlanStatePrior authConditionsSinceSource
Blue Shield of CaliforniaBlue Shield commercialCAprior auth requiredSep 1, 2026Prior Authorization List for Blue Shield
Blue Shield of California Promise Health PlanPromise Health Plan Medi-CalCAprior auth requiredSep 1, 2026Medi-Cal Prior Authorization List
Molina Healthcare of CaliforniaCalifornia state exceptions (exceptions only)CAprior auth requiredState exceptionJul 1, 2021California PA code exceptions (Marketplace), Q3 2021
Molina Healthcare of CaliforniaCalifornia state exceptions (exceptions only)CAprior auth requiredState exceptionJul 1, 2021California PA code exceptions (Medi-Cal), Q3 2021
Molina Healthcare of CaliforniaMedicaidCAprior auth requiredState exceptionApr 1, 2026Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026
Molina Healthcare of IowaMedicaidIAprior auth requiredJul 1, 2023IA Prior Authorization Matrix, effective Q3 2023
Molina Healthcare of TexasSTAR, STAR+PLUS, STAR Kids, CHIP (Medicaid PA code matrix)TXprior auth requiredPrior authorization will not be required for LMHA providersOct 1, 2025Medicaid Behavioral Health and Medical Prior Authorization (PA) Code Matrix (Texas), 2026-Q3
UnitedHealthcare Community PlanKanCareKSprior auth under conditionssite of care: home, outpatientOct 1, 2026Prior authorization requirements for Kansas Medicaid Effective October 1, 2026
UnitedHealthcare Community PlanMassachusetts Senior Care Options (SCO) and OneCareMAprior auth requiredOct 1, 2026Prior authorization requirements for Massachusetts MA SCO OneCare Effective October 1, 2026

Payer coverage policies that name H2014

H2014 appears in 3 coverage policies from Blue Cross & Blue Shield of Rhode Island, Blue Shield of California, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Blue Cross & Blue Shield of Rhode IslandAutism Spectrum Disorders Mandate
PAYMENT POLICY | 4
covered if criteria are metApr 15, 2026payer document
Blue Shield of CaliforniaBehavioral Health Treatment for Autism Spectrum Disorder or BSC3.01 Pervasive Developmental Disorderlisted, no stancepayer document
Premera Blue CrossApplied Behavior Analysis (ABA) (3.01.510)listed, no stanceApr 27, 2026payer document

Recent prior-auth changes

  • Jul 1, 2026: PA added, Molina Healthcare of Texas
  • Jan 1, 2026: PA removed, Humana
  • May 22, 2023: PA added, Blue Shield of California Promise Health Plan
  • Sep 1, 2022: PA removed, Blue Shield of California Promise Health Plan
  • Feb 23, 2022: PA added, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

Prior authorization required or conditional in IN, VA.

  • AZ: $18.33 (behavioral, AHCCCS PT 18), effective Oct 1, 2026
  • CO: $12.82 (health_first_colorado), effective Jul 1, 2026
  • IN: $4.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Oct 1, 2012
  • LA: $7.80 (specialized_behavioral_health, Rate), effective Jan 1, 2026
  • ND: $12.83 (behavioral_health), effective Jul 1, 2026
  • VA: $46.88 (medical, Iffds), effective Jul 1, 2026
  • WA: $17.68 (specialized_mental_health), effective Jul 1, 2026
  • WY: $7.07 (professional), effective Jul 1, 2024

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.