Cotiviti E&M Leveling Effective February 1, 2026

Date: 12/01/25

NH Healthy Families & Ambetter from NH Healthy Families is committed to continuously improving its claims review and payment processes. This memo is to notify you that effective February 1, 2026, we will begin applying national CPT billing guidelines for the appropriate coding of professional & physician emergency department Evaluation and Management (E&M) code levels.

View the full release here (PDF).