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2025.33 - Provider Bulletin - New Coding & Reimbursement for SBIRT Services

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Coding
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is implementing new SBIRT (substance use screening) billing codes effective July 1, 2025. Providers must switch from CPT codes 99408/99409 to new HCPCS codes H0049 (negative screens, $24) and H0050 (positive screens with intervention, $48 per 15 minutes, max 3 units).

Action Required

Action needed
By July 1, 2025: Billing team must update system to replace CPT codes 99408 and 99409 with HCPCS codes H0049 ($24 for negative screens) and H0050 ($48 per 15-minute unit, max 3 units for positive screens with intervention). Update encounter forms and train providers on new documentation requirements including screening tool used, score obtained, time spent, and actions taken. Claims submitted with old codes 99408/99409 after June 30, 2025 will be denied and require resubmission with correct codes.

Affected Billing Codes

99408
99409
H0049
H0050
99406
99407
T1015