T2017 Habil res waiver 15 min

Habilitation, residential, waiver; 15 minutes

Medicare pricing for T2017

Physician Fee Schedule (CY 2026, RVU26D)

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

Payer policies and prior authorization for T2017

4 of 4 payer prior-auth lists that name T2017 require prior authorization or set conditions: Molina Healthcare of California, Molina Healthcare of Texas.

PayerPlanStatePrior authConditionsSinceSource
Molina Healthcare of CaliforniaMedicaidCAprior auth requiredState exceptionApr 1, 2026Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026
Molina Healthcare of TexasSTARTXprior auth requiredFeb 19, 2025Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR), reviewed 2025-02-19
Molina Healthcare of TexasSTAR+PLUSTXprior auth requiredFeb 19, 2025Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR+PLUS), reviewed 2025-02-19
Molina Healthcare of TexasSTAR, STAR+PLUS, STAR Kids, CHIP (Medicaid PA code matrix)TXprior auth requiredFeb 1, 2022Medicaid Behavioral Health and Medical Prior Authorization (PA) Code Matrix (Texas), 2026-Q3

Payer coverage policies that name T2017

T2017 appears in 1 coverage policy from Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Premera Blue CrossNon-covered Services and Procedures
Page | 21 of 30 | ∞
not coveredJun 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • WY: $8.84 (professional), effective Jul 1, 2026

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.