The following home health care services no longer require prior authorization for our in-network providers, effective Sept. 1, 2025:
| Revenue code | Service type | HCPCS code |
| 0421-0429 | PT | G0151 |
| 0431-0439 | OT | G0152 |
| 0441-0449 | ST | G0153 |
| 551-559 | Skilled nursing | G0299, G0300 |
| 0560-0569 | MSW | G0155* |
| 0570-0571 | Home health aide | G0156* |
| 589 | Dietician | G0270* |
*For commercial//individual plans: G0155, G0156 and G0270 aren’t covered. For Medicaid/Healthy Michigan plans: G0155 and G0270 aren’t covered.
Home infusion services, many home physician services and home health care services provided by out-of-network providers do still require prior authorization.
Get more information:
- Medical policy: Home Care (#91023)
- Billing policy: Home Health (#066)