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MedicaidReimbursementMedium impact

2026.27 - Provider Bulletin - Private Non-Medical Institution (PNMI) Rate for Adult Mental Health Rehabilitation Services

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Reimbursement
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Days to comply
11 days

Summary

Connecticut Medicaid has updated the monthly reimbursement rate for Private Non-Medical Institution (PNMI) services provided to adults in mental health group homes. The new rate of $3,530.49 per month (code 2074Y) takes effect July 1, 2026, replacing the previous rate structure.

Action Required

Before Jul 1, 2026
By July 1, 2026: Billing team must update reimbursement rates in billing system for Connecticut Medicaid PNMI services (code 2074Y) to $3,530.49 per month. This applies only to providers serving adult residents in mental health group homes eligible for HUSKY A, C & D programs. Verify eligibility requirements are met before billing.