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2025.49 - Provider Bulletin - Billing for Individuals Not Licensed to Practice Independently When Providing B.H. Services in Clinic - Group Settings
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now provides two billing options for behavioral health services provided by non-licensed practitioners under supervision: Option 1 allows billing under the supervising provider's NPI, while Option 2 allows billing under the non-licensed provider's NPI with the supervisor listed separately. Specific electronic claim submission requirements and new denial codes are provided for improper supervision documentation.
Action Required
Immediately: Billing teams at behavioral health practices must choose between two billing options for non-licensed providers: (1) Bill under supervising provider's NPI as rendering provider, or (2) Enroll non-licensed providers for NPIs at https://nppes.cms.hhs.gov and bill with supervisor in supervising provider field. Update electronic claim submission to use correct NPI segments (Loop 2420 for rendering, Loop 2420D for supervising). For web portal users, use Option 1 only until portal is updated. Train staff on new denial codes 1073-1078 for supervision-related claim rejections.