HCPCS Level II › H codes H2017 Psysoc rehab svc, per 15 minPsychosocial rehabilitation services, per 15 minutes
Medicare coverage: Not payable by Medicare Status: active (October 2026 file) Medicare pricing for H2017 Physician Fee Schedule (CY 2026, RVU26D) Status I: not valid for Medicare (Medicare uses another code).
Payer policies and prior authorization for H2017 16 of 19 payer prior-auth lists that name H2017 require prior authorization or set conditions: Blue Cross and Blue Shield of Illinois, CarePlus Health Plans, Humana, Molina Complete Care (Virginia), Molina Healthcare of California, Molina Healthcare of Iowa, Molina Healthcare of Mississippi, Molina Healthcare of Texas.
Payer Plan State Prior auth Conditions Since Source Blue Cross and Blue Shield of Illinois Blue Cross Community Health Plans (BCCHP), Illinois Medicaid IL prior auth required Oct 1, 2026 Illinois Medicaid Prior Authorization Code List, Effective 10/1/2026 Blue Cross and Blue Shield of Illinois Blue Cross Community MMAI (Medicare-Medicaid Alignment Initiative) IL prior auth required Jan 1, 2025 Procedure Code List, Effective 1/1/2025 CarePlus Health Plans CarePlus Health Plans FL prior auth required Jan 1, 2027 Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List Humana Humana D-SNP (SC) SC prior auth required Jan 1, 2027 Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List Humana Humana D-SNP (VA) VA prior auth required Jan 1, 2027 Virginia Prior Authorization and Notification List Humana Humana Healthy Horizons FL prior auth required Jan 1, 2027 1102002FL1026 FLHN8CBEN Humana Healthy Horizons in Florida Preauthorization and Notification List Humana Humana Healthy Horizons LA prior auth required Jan 1, 2027 Humana Healthy Horizons in Louisiana Prior Authorization and Notification List To Except where noted via links on the following pages, prior authorization requests for medical services may be initiate Humana Humana Healthy Horizons OH prior auth required Jan 1, 2027 555201OH0924-B OHHMZG2EN Humana Healthy Horizons® in Ohio Prior Authorization Notification List (PAL) The following preauthorization and notification list Humana Humana Healthy Horizons SC prior auth required Jan 1, 2027 Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical Humana Humana Healthy Horizons VA prior auth required Jan 1, 2027 Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL) Molina Complete Care (Virginia) Virginia state exceptions to the national Medicaid grid (exceptions only) VA prior auth required State exception Apr 1, 2025 Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025 Molina Complete Care (Virginia) Medicaid VA prior auth required State exception Apr 1, 2025 Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025 Molina Healthcare of California Medicaid CA prior auth required State exception Apr 1, 2026 Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026 Molina Healthcare of Iowa Medicaid IA prior auth required Jul 1, 2023 IA Prior Authorization Matrix, effective Q3 2023 Molina Healthcare of Mississippi Medicaid MS prior auth required State exception; Prior auth required after initial 80 units Jan 1, 2025 Mississippi Medicaid Prior Auth (PA) Code Matrix and exceptions, effective Q1 2025 Molina Healthcare of Texas STAR, STAR+PLUS, STAR Kids, CHIP (Medicaid PA code matrix) TX prior auth required Prior authorization will not be required for LMHA providers Oct 1, 2025 Medicaid Behavioral Health and Medical Prior Authorization (PA) Code Matrix (Texas), 2026-Q3
Payer coverage policies that name H2017 H2017 appears in 1 coverage policy from Premera Blue Cross.
Payer Policy Role in policy Reviewed Document Premera Blue Cross Non-covered Services and ProceduresPage | 16 of 30 | ∞ not covered Jun 1, 2026 payer document
Recent prior-auth changes Jan 1, 2027: PA added, Humana Jul 1, 2026: PA added, Molina Healthcare of Texas Jul 1, 2026: PA added, Humana Jul 1, 2026: PA added, Humana Medicaid fee-for-service Prior authorization required or conditional in IN, MS, VA.
AZ: $15.30 (behavioral, AHCCCS PT 18), effective Oct 1, 2026 IN: $7.92 (professional, non-facility), effective Apr 1, 2016 KS: $27.75 (default, Mid Level Practitioner), effective Oct 1, 2023 LA: $2.52 (specialized_behavioral_health, Universal Rate), effective Jan 1, 2026 MS: $4.48 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 TX: $5.39 (therapies, Mh Rehabilitative Services, non-facility), effective Sep 1, 2011 VA: $123.28 (medical, Iffds), effective Jul 1, 2025 WA: $17.70 (specialized_mental_health), effective Jul 1, 2026 WY: $10.14 (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.