MedicaidBilling CodesHigh impact
2025.56 - Implementation of Children’s Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has implemented new billing procedures for Children's Mental Health Urgent Crisis Centers serving children 18 and younger, effective October 1, 2025. The policy establishes specific billing codes (E&M visits, psychiatric evaluations, and crisis intervention) with important restrictions that E&M codes cannot be billed concurrently with psychiatric evaluation codes.
Action Required
Immediately: If your practice provides children's mental health urgent crisis services in Connecticut, ensure DCF certification is uploaded to the provider portal and update billing system rules to prevent concurrent billing of E&M codes (99204, 99215) with psychiatric evaluation codes (90791, 90792). Document start and stop times for all time-based services including H2011 crisis intervention units. Maximum 14 units of H2011 per day (3.5 hours total).