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Update on Care of Older People in their Environment - Confident Caregiver
Effective date
Sep 1, 2025
Identified
Jun 20, 2026
Summary
Starting September 1, 2025, individual occupational therapists and OT groups can enroll as Medicaid billing providers for COPE/Confident Caregiver services, previously limited to home health agencies only. Both RNs (through HHAs) and OTs can now bill separately for their respective components of these caregiver support services.
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What to do
Action · 3 steps
01Before September 1, 2025: Home health agencies should consider enrolling for the limited nursing component of COPE/Confident Caregiver services.
02Billing teams must update systems to handle separate billing scenarios where RN services are billed by HHAs using code S0274 and OT services are billed by individual OTs or OT groups using code S5108.
03Complete free Drexel University training before September 30, 2025 to avoid training costs.
Codes mentioned
S5108S0274
Original notice
Update on Care of Older People in their Environment - Confident Caregiver
ctdssmap.com · Always check the source before changing claims.
Related changes
See all Connecticut Medicaid (HUSKY Health) changes →2025.02 - Provider Bulletin - New Services added to Home & Community Based Services Medicaid Waiver Programs - COPEMediumEffective Oct 1, 2024 · Provider BulletinDSS Important Message - 10% Rate Add-On Extended for COPE, Confident Caregiver, and CAPABLE Services through 09.30.2025MediumEffective Oct 1, 2025 · ReimbursementSign up to become a Care of Older People in their Environment - Confident Caregiver providerMediumEffective Sep 1, 2025 · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list