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Connecticut Medicaid (HUSKY Health)Medicaid · Reimbursement · Reimbursement · CT · Occupational TherapyMedium impact

DSS Important Message - 10% Rate Add-On Extended for COPE, Confident Caregiver, and CAPABLE Services through 09.30.2025

Act
by Sep 30, 2025
Effective date
Oct 1, 2025
Identified
Jun 20, 2026

Summary

The 10% rate add-on for COPE, Confident Caregiver, and CAPABLE services has been extended through September 30, 2025, maintaining higher reimbursement rates of $31.16 per 15 minutes. After October 1, 2025, rates will decrease to $28.33 per 15 minutes for all affected services.

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What to do

by Sep 30, 2025 · 2 steps
01Billing team must update fee schedules for COPE/Confident Caregiver and CAPABLE services to reflect the rate change from $31.16 to $28.33 per 15 minutes effective October 1, 2025.
02Update billing system with new rates for codes S0274, S5108, G9002, and G9006 to ensure proper reimbursement calculation after the extension period ends.

Codes mentioned

S0274S5108G9002G9006

Original notice

DSS Important Message - 10% Rate Add-On Extended for COPE, Confident Caregiver, and CAPABLE Services through 09.30.2025
ctdssmap.com · Always check the source before changing claims.
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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 Bulletin2025.03 - Provider Bulletin - New Services added to Home & Community Based Services Medicaid Waiver Programs - CAPABLEMediumEffective Oct 1, 2024 · Provider BulletinUpdate on Care of Older People in their Environment - Confident CaregiverMediumEffective Sep 1, 2025 · Provider BulletinSign 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

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesOccupational TherapyCode S0274Code S5108Code G9002Code G9006

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