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MedicaidReimbursementLow impact

2025.26 - Provider Bulletin - Private Non-Medical Institution Rate for Adult Mental Health Rehabilitation Services

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Reimbursement
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated the monthly reimbursement rate for Private Non-Medical Institution (PNMI) adult mental health rehabilitation services from an unspecified previous rate to $3,521.69 per month, effective July 1, 2025. This applies to adult residents eligible for HUSKY A, C & D receiving rehabilitative services in private non-profit group homes.

Action Required

Action needed
By July 1, 2025: Billing teams serving Connecticut Medicaid patients in private non-medical institutions must update their billing systems to use the new monthly rate of $3,521.69 for code 2074Y when billing adult mental health rehabilitation services. Update fee schedules and verify patient eligibility for HUSKY A, C & D programs.