MedicaidCoverageMedium impact
CMAP Coverage of Behavioral Health Screenings in Primary Care
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, General Practice·Provider Bulletin
We identified it
Jun 20, 2026
Summary
This is a reminder that Connecticut Medicaid (CMAP) covers behavioral health screenings in primary care for HUSKY Health members under 18, including specific billing codes and modifiers for depression screenings and brief emotional/behavioral assessments. Screenings are reimbursable both during annual EPSDT visits and at other medically necessary intervals.
Action Required
Immediately: Billing team should verify that depression screening codes G8431 and G8510 are set up for Connecticut Medicaid claims without modifiers, and code 96127 is configured with modifier U3 for positive screens or U4 for negative screens for HUSKY Health members under 18. Update encounter forms to include these screening options for pediatric primary care visits.