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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Provider Bulletin · CT · Psychiatry, PediatricsHigh impact

2025.56 - Implementation of Children’s Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger

Act
immediately
Effective date
Oct 1, 2025
Identified
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.

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What to do

immediately · 3 steps
01If 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).
02Document start and stop times for all time-based services including H2011 crisis intervention units.
03Maximum 14 units of H2011 per day (3.5 hours total).

Codes mentioned

99204992159079190792H2011

Original notice

2025.56 - Implementation of Children’s Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger
ctdssmap.com · Always check the source before changing claims.
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Related changes

See all Connecticut Medicaid (HUSKY Health) changes →
2025.80 - Update to the Implementation of Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & YoungerMediumEffective Oct 1, 2025 · Provider Bulletin2024.39 - Provider Bulletin - Reimbursement Rate Increases for Select Behavioral Health Services for Children PDFMediumEffective Jul 1, 2024 · Reimbursement2024.16 - Provider Bulletin Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger PDFMediumEffective Apr 1, 2024 · Provider BulletinFrequently Asked Questions (FAQ): Connecticut Maternity Bundle Billing and Claims (updated 9/14/2026)MediumNo effective date · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesPsychiatryPediatricsCode 99204Code 99215Code 90791Code 90792Code H2011

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