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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Coding · CT · Family Medicine, Internal Medicine, General Practice +1 moreHigh impact

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

Act
by Jul 1, 2025
Effective date
Jul 1, 2025
Identified
Jun 20, 2026

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).

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What to do

by Jul 1, 2025 · 3 steps
01Billing 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).
02Update encounter forms and train providers on new documentation requirements including screening tool used, score obtained, time spent, and actions taken.
03Claims submitted with old codes 99408/99409 after June 30, 2025 will be denied and require resubmission with correct codes.

Codes mentioned

9940899409H0049H00509940699407T1015

Original notice

2025.33 - Provider Bulletin - New Coding & Reimbursement for SBIRT Services
ctdssmap.com · Always check the source before changing claims.
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