CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION. APPENDIX B: Reimbursement Detailed Table

12/01/2019

EXHIBIT B1. Exact and Alternative Reimbursement Codes by State
  H0001 H0049 H0050 H0004 H0038 H0006 H0007 H0015
Alabama 90791-HF NF NF 90832 Yes Yes H2011 NF
Alaska Yes T1023 99408 90832 Yes T1016 H2011 NF
Arizona Yes H0002 NF Yes Yes T1016 H2011 Yes
Arkansas Yes NF NF 90832 Yes NF H2011 Yes
California* Yes Yes NF Yes Yes Yes H2011 NF
Colorado Yes S9445 NF Yes Yes Yes NF NF
Connecticut 96127 NF NF 90832 NF T1016 S9484 Yes
Delaware Yes NF NF Yes Yes NF H2011 Yes
D.C. Yes H0002 99408 Yes Yes Yes Yes Yes
Florida Yes T1023 NF H2010 NF T1017 NF NF
Georgia H0031 NF NF 90832 Yes T1016 H2011 Yes
Hawaii NF NF NF NF NF NF NF NF
Idaho 90791 99408 99408 90832 NF NF 90839 NF
Illinois H2000 NF NF Yes NF T1016 H2011 NF
Indiana NF NF 99408 Yes Yes NF NF Yes
Iowa 90791 Yes 99408 Yes Yes T1016 Yes Yes
Kansas Yes Yes Yes Yes Yes Yes NF Yes
Kentucky Yes H0002 99408 90832 Yes T2023 H2011 Yes
Louisiana Yes Yes Yes Yes NF NF H2011 Yes
Maine NF NF NF NF NF NF NF NF
Maryland Yes NF NF Yes NF NF NF Yes
Massachusetts Yes NF NF Yes Yes Yes NF H2012-HF
Michigan Yes NF NF Yes Yes H2035 H2011-HF Yes
Minnesota Yes NF NF NF Yes T1016 NF NF
Mississippi NF NF NF NF Yes NF NF NF
Missouri Yes NF NF Yes NF NF NF NF
Montana Yes NF 99408 Yes NF T1016 NF H0012
Nebraska Yes NF NF 90832 Yes 90887 90839 90843
Nevada 96127 Yes NF 90832 Yes T1016 H2011 S9480
New Hampshire Yes Yes 99408 Yes Yes Yes Yes Yes
New Jersey Yes Yes NF Yes H0036 Yes Yes Yes
New Mexico Yes NF NF 90832 Yes NF H2011 Yes
New York Yes Yes Yes Yes Yes NF NF S9480
North Carolina 90791 NF NF 90832 NF H0032 H2011 Yes
North Dakota NF NF NF 90832 NF NF NF NF
Ohio 90791 NF G0396 90832 Yes Yes 90839 Yes
Oklahoma Yes H0002 NF Yes H2015 T1017 H2011 NF
Oregon Yes H0002 NF Yes Yes Yes NF Yes
Pennsylvania NF NF NF Yes Yes NF NF NF
Rhode Island Yes NF NF Yes Yes NF H2011 NF
South Carolina 90791 H0002 NF 90832 Yes NF H2011 NF
South Dakota Yes NF NF Yes NF NF H2011 Yes
Tennessee NF NF NF NF NF NF NF NF
Texas Yes Yes 99408 Yes NF T1017 H2011 H0004, H0005
Utah H0031 NF NF H2019 Yes NF 90839 NF
Vermont Yes NF NF Yes NF Yes Yes Yes
Virginia 90791 NF 99408 90832 T1012 Yes H0036 Yes
Washington Yes NF NF Yes NF T1017 NF NF
West Virginia H0031 T1023 90791, 90792, H0031 Yes Yes T1017 H2011 H0004
Wisconsin 90791 NF H0022 H0022 Yes T1017 S9484 H2012-HF
Wyoming H0031 NF NF H2019 Yes G9012 T1017 NF
*Data for California are from the Los Angeles Organized Delivery System (ODS) and do not represent the entire state.
BILLING CODE DESCRIPTIONS:
  • H0001 = Alcohol and/or drug assessment
  • H0049 = Alcohol and/or drug screening
  • H0050 = Alcohol and/or drug services, brief intervention, per 15 minutes
  • H0004 = Behavioral health counseling and therapy, per 15 minutes
  • H0038 = Self-help/peer services, per 15 minutes
  • H0006 = Alcohol and/or drug services; case management
  • H0007 = Alcohol and/or drug services; crisis intervention
  • H0015 = Alcohol and/or drug services; intensive outpatient

LEGEND: "Yes" = exact code used; "NF" = not found