Provider Billing Update re: HCPCS H0019 Effective 10/15/2025

Date: 09/10/25

Please Note:

As of 10/15/2025, prior authorization is required for Ambetter Health providers billing HCPCS code H0019 (BHVAL HLTH; LNG-TERM RES PER DIEM).

Questions?

If you have any questions, please reach out to your provider engagement team. Navigate to https://www.sunshinehealth.com/providers/pea.html if you need help locating yours.

Thank you for your continued partnership as we work to transform the health of the communities we serve, one person at a time.