T2013 Habil ed waiver per hourHabilitation, educational, waiver; per hour
Status I: not valid for Medicare (Medicare uses another code).
2 of 2 payer prior-auth lists that name T2013 require prior authorization or set conditions: Molina Healthcare of California, Molina Healthcare of Michigan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| 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 Michigan | Exchange | MI | prior auth under conditions | PA only with autism dx | Jul 1, 2021 | Molina Healthcare of Michigan PA Matrix, effective 7/1/2021 |
T2013 appears in 1 coverage policy from Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Premera Blue Cross | Non-covered Services and Procedures Page | 21 of 30 | ∞ | not covered | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN, VA.
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.