H2014 HCPCS Code: Skills training and development (Units, EVV, Rates, Denials)
H2014: Skills training and development, per 15 minutes. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
H2014 is “Skills training and development, per 15 minutes.” It is billed per 15 min and is mostly used for habilitation: teaching daily living, social and community skills to people with intellectual or developmental disabilities or behavioral health needs, at home or in the community. Medicare does not pay it. Whether EVV applies depends on your state: CMS expects EVV for in-home services that include personal care, and some states include habilitation in their EVV program.
Units and rounding
One unit is 15 minutes, so 1 hour is 4 units. Your state sets the rule for partial units: many count a unit once at least 8 minutes are worked (8 to 22 minutes is one unit), while others pay only completed units. Round the way your provider manual says. Convert minutes in the units calculator.
Modifiers you will see
- U1–U9: State-defined; often distinguish programs (waiver vs state plan), service levels or provider types
- HQ: Group setting
- HI: Integrated mental health and intellectual disability/developmental disabilities program
- HE: Mental health program
Modifier meanings are set by each state and payer, so check your provider manual. See home care billing modifiers.
Typical rates
Rates differ by state, waiver and setting (individual or group). Each state program and managed-care plan sets its own rate, so use your state’s current fee schedule. Check what is left of an hour after wages and overhead with the Medicaid hour margin calculator.
Common denial reasons
- Units exceed the authorization
- Service not in the person-centered plan or not tied to a skill goal
- Missing or mismatched EVV visit, where the state requires EVV for the service
- Service date outside the authorization period
Related codes
- T2025: Waiver services; not otherwise specified (NOS)
- T2027: Specialized childcare, waiver; per 15 minutes
- T1019: Personal care services, per 15 minutes
Source
CMS HCPCS Level II code set (quarterly update). Confirm the exact descriptor and any state-specific unit definition in your payer’s billing manual. Last reviewed November 6, 2026.
General information, not billing or legal advice. Check your state Medicaid agency’s current fee schedule and provider manual.