Medicaid HCPCS Codes for Home and Community Behavioral Health: Same Code, Different Meaning by State
Medicaid HCPCS codes such as H2015, H0040, H2011, H0036, H2019 and H2020 do not mean the same thing in every state. This guide shows what each code pays for in the states we could confirm, the modifiers and units it uses, and how to check your own state before you bill. Checked against state Medicaid sources on 9/30/26.
Get My Free ConsultationIn this guide
- ✓ Six codes compared across states
- ✓ Community support and ACT codes
- ✓ Crisis and family services codes
- ✓ What we could not confirm
- ✓ Six steps before you bill
Medicaid HCPCS Codes at a glance
This page covers medicaid hcpcs codes for mental health billing: what the codes cover, how payers apply them, and what to document. Psychotherapists and psychiatrists both use these codes, so the sections below call out differences where they matter. Payer rules vary, so confirm current requirements with the payer before you bill.
What are Medicaid HCPCS codes for home and community behavioral health?
HCPCS (Healthcare Common Procedure Coding System) Level II is the national code set CMS maintains for services that CPT does not cover. The HCPCS code set on CMS.gov gives each code a short national name. Medicaid programs then decide what each code pays for in their state, which modifiers it needs, how a unit is counted and who may bill it. In behavioral health, the H codes and a few S and T codes carry most home and community services.
The rule of thumb: a code name from one state does not travel. Before you bill an H code, match the code, the modifier, the unit and the provider type to your own state’s Medicaid manual and to the health plan’s manual. These codes matter to any practice that works with community programs. Related guides: CPT modifiers and place of service codes. Current as of last search 9/30/26 — reconfirm before publishing.
Six codes, six state stories
Cards show only what a state Medicaid document said. A missing state means we did not find it, not that it is unavailable.
H2015 — community support
Massachusetts: Community Support Program. Georgia: Community Support Individual. Texas: Recovery Management (HCBS-AMH only). Florida: substance abuse support only.
H0040 — assertive community treatment
Massachusetts: PACT, per day. Florida: FACT, per day. Georgia bills ACT under H0039 instead.
H2011 — crisis intervention
Massachusetts: mobile crisis, with HN or HO. Georgia: Crisis Intervention, with U-level modifiers.
H0036 — supportive treatment
Georgia: Intensive Family Intervention. Texas: Community Psychiatric Supports and Treatment (HCBS-AMH only). Rhode Island: CCBHC supportive treatment.
H2019 — therapy or rehabilitation
Florida: therapy, testing and on-site behavioral services. Texas: psychosocial rehabilitation (HCBS-AMH). Massachusetts: children’s therapeutic behavioral services.
H2020 — overlay services
Florida: Behavioral Health Overlay Services, per day. Georgia: unclear, do not use it. Not found in Texas, Connecticut or Massachusetts.
Codes by service group and state
Home and community behavioral health, grouped by what the service does.
Community support and assertive community treatment
These codes pay for ongoing support in the community. The same code can mean a different program in each state.
| Code | State | What it means there | Modifiers and unit | Source |
|---|---|---|---|---|
| H2015 | Massachusetts | Community Support Program (CSP) | No modifier; 15 minutes | MassHealth CSP covered codes (4/28/2023) |
| H2016 | Massachusetts | CSP per diem programs: HK homeless, HH justice-involved, HE Tenancy Preservation | HK, HH or HE; per day | MassHealth CSP covered codes (4/28/2023) |
| H2015 | Georgia | Community Support Individual | U4 or U5 plus U6 (in clinic) or U7 (out of clinic); UK collateral contact; GT telehealth; 15 minutes | Georgia Medicaid CBHRS Part II (10/1/2024) |
| H2015 | Texas | Recovery Management, inside the HCBS-AMH program only | HK, HE and FQ or 95; 15 minutes | HHSC HCBS-AMH billing guidelines (May 2023) |
| H2015 | Florida | Community support for substance abuse only: aftercare, individual and group peer recovery | HN, none or HQ; quarter hour; 120 units per state fiscal year | AHCA 2026 County Match fee schedule |
| H0040 | Massachusetts | Program of Assertive Community Treatment (PACT) | U1 or U2 level of care; per day | MassHealth PACT Subchapter 6 (effective 11/1/2025) |
| H0040 | Florida | Florida Assertive Community Treatment (FACT) | No modifier listed; one unit per day | AHCA 2026 CBH fee schedule |
| H0039 | Georgia | Assertive Community Treatment (ACT). Georgia uses H0039, not H0040. | Practitioner level 1, in clinic; 15 minutes | Georgia Medicaid CBHRS Part II (10/1/2024) |
Crisis services
Crisis codes depend on who did the work and where. Massachusetts and Georgia both use H2011 but with different modifiers.
| Code | State | What it means there | Modifiers and unit | Source |
|---|---|---|---|---|
| H2011 | Massachusetts | Mobile crisis intervention at community behavioral health centers and community sites | HN (bachelor’s or paraprofessional) or HO (master’s), with HB adult or HA youth; 15 minutes | MassHealth CBHC Subchapter 6 (effective 8/15/2025) |
| S9485 | Massachusetts | Crisis stabilization and mobile crisis, per day (POS 15 for community sites) | ET, HE or U1; HA added for youth; per day | MassHealth CBHC Subchapter 6 (effective 8/15/2025) |
| H2011 | Georgia | Crisis Intervention | U1 to U5 practitioner level plus U6 or U7; GT telehealth; 15 minutes | Georgia Medicaid CBHRS Part II (10/1/2024) |
| H2011 | Florida | Mobile crisis assessment and intervention, listed by one health plan as an in-lieu-of service | No modifier listed by the plan | Aetna Better Health FL in-lieu-of guide |
Family, therapy and rehabilitation services
These are the codes where the same number means the most different things.
| Code | State | What it means there | Modifiers and unit | Source |
|---|---|---|---|---|
| H0036 | Georgia | Intensive Family Intervention | Practitioner levels 3 to 5, in clinic or out of clinic; 15 minutes | Georgia Medicaid CBHRS Part II (10/1/2024) |
| H0036 | Texas | Community Psychiatric Supports and Treatment, inside the HCBS-AMH program only | HK, HE and FQ or 95; per hour | HHSC HCBS-AMH billing guidelines (May 2023) |
| H0036 | Rhode Island | Community psychiatric supportive treatment in certified community behavioral health clinic (CCBHC) billing | HN, HE by service; 15 minutes | RI EOHHS CCBHC code table (undated) |
| H2019 | Florida | Therapy and testing services and Therapeutic Behavioral On-Site Services | HR individual or family, HQ group, HO, HN or HM by level; quarter hour | AHCA 2026 CBH fee schedule |
| H2019 | Texas | Psychosocial rehabilitation, inside the HCBS-AMH program only | HK, HE individual or HQ group; 15 minutes | HHSC HCBS-AMH billing guidelines (May 2023) |
| H2019 | Massachusetts | Therapeutic behavioral services in the children’s behavioral health rate regulation | HN or HO; 15 minutes | 101 CMR 352.03 (effective 8/1/2023) |
| H2017 | Florida | Psychosocial rehabilitation services | No modifier listed; quarter hour; up to 1,920 units per year | AHCA 2026 CBH fee schedule |
| H2017 | Georgia | Psychosocial Rehabilitation, individual and group | HE plus level modifiers; 15 minutes | Georgia Medicaid CBHRS Part II (10/1/2024) |
| H2020 | Florida | Behavioral Health Overlay Services (BHOS) | HA; per day | AHCA 2026 BHOS fee schedule |
Where to find each state's Medicaid billing manual and payer sites
Every Medicaid behavioral health code has to be checked against the state's own manual and each plan's provider manual. Start here. Labels show whether we opened the page: "Page opened" means we read it; "Verify link" means the address came from a search result or an official page and needs a click-through before you rely on it. Current as of 9/30/2026 — reconfirm before publishing.
Ten served states and California
The ten states MCM South serves, plus California.
Other West and Midwest states
Washington, Oregon and Wisconsin.
East Coast, Maine to South Carolina
Plus the District of Columbia. Florida and Georgia appear in the first table.
Six steps before you bill an H code
1. Find your state manual
Open your state Medicaid provider manual and fee schedule for the program. Search for the exact code.
2. Match five details
Match the code, the modifier, the unit, the provider type and the place of service to the manual.
3. Check the health plan
If a managed care plan pays the claim, read its manual too. Plans can add prior authorization or limits.
4. Match the note to the unit
Write the note so it supports the unit: minutes, per hour or per day.
5. Ask before you bill
When a manual is silent, ask the plan in writing and keep the answer.
6. Recheck each quarter
State manuals and fee schedules change. Check the effective date.
Medicaid HCPCS codes: frequently asked questions
Is an H code the same in every state?
No. CMS publishes the national code name, but each state Medicaid program decides what the code pays for, which modifiers it needs and how a unit is counted. For example, H0036 is Intensive Family Intervention in Georgia and Community Psychiatric Supports and Treatment in Texas (HCBS-AMH).
Why is assertive community treatment H0040 in some states and H0039 in Georgia?
Both codes are used for assertive community treatment. Massachusetts and Florida list H0040 in the sources we read, and Georgia lists H0039. Use the code your state manual lists.
Do modifiers like HN, HO and U1 mean the same thing everywhere?
No. In Massachusetts, HN and HO show clinician level on crisis claims. In Georgia, U1 to U5 show practitioner level. See the CPT modifiers guide and check your state manual.
Are these codes only for Medicaid?
Medicaid programs and their managed care plans use most of them. Commercial plans, including Anthem Blue Cross and Blue Shield plans, set their own rules. Public Anthem documents we found list very few of these codes, so verify with the plan.
Where can I confirm a code for my state?
Start with your state Medicaid provider manual and fee schedule, then the health plan manual. Each row in this guide links to the document it came from.
Where this information comes from
- CMS, HCPCS code set
- MassHealth PACT Subchapter 6 (effective 11/1/2025)
- MassHealth Community Support Program covered codes (4/28/2023)
- MassHealth Community Behavioral Health Center Subchapter 6 (effective 8/15/2025)
- 101 CMR 352.03, children’s behavioral health rates (effective 8/1/2023)
- Georgia Medicaid CBHRS Part II Policies and Procedures (10/1/2024)
- Florida AHCA 2026 Community Behavioral Health fee schedule
- Florida AHCA 2026 BHOS fee schedule
- Florida AHCA 2026 County Match fee schedule
- Texas HHSC HCBS-AMH billing guidelines (May 2023)
- Rhode Island EOHHS CCBHC code table (undated)
- Elevance Health 2024 annual report (Form 10-K)
- Amerigroup Georgia behavioral health addendum
Current as of last search 9/30/26 — reconfirm each row against the linked document before publishing. Documents were read through a summarizing tool, so rows marked partial need a full read. Operational guidance for a billing service, not legal advice.
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