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MedicaidReimbursementMedium impact

Clarification on Updates to Fee Schedules and Rate Increases for Select Behavioral Health Services

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Family Medicine, Internal Medicine +1 more·Reimbursement
Effective date
Apr 15, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid corrected an overpayment error for behavioral health add-on codes (90833, 90836, 90838) when billed with evaluation codes, taking back excess payments on April 15, 2026 remittances. Claims are now paying correct combo rates per the original 2012 guidelines.

Action Required

Action needed
Immediately: Review April 15, 2026 Remittance Advice for recoupments (ICN starting with 52). Billing team should verify current rates for codes 90833, 90836, 90838 combo billing on Connecticut fee schedules at ctdssmap.com. Update billing system to ensure correct combo rates are applied when these behavioral health add-on codes are billed with E&M codes to prevent future overpayments.

Affected Billing Codes

90833
90836
90838
99202
99203
99204
99205
99211
99212
99213
99214
99215
99301
99302
99303
99304
99305
99306
99307
99308
99309
99310