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MedicaidPrior AuthHigh impact

DSS Important Message - Prior Authorization Reminder - 05.05.2025

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (DSS) is reminding Behavioral Health and Enhanced Care Clinic providers that procedure code H2019 (therapeutic behavioral services, per 15 minutes) requires prior authorization. Claims submitted without prior authorization will be denied.

Action Required

Action needed
Immediately: Behavioral Health and Enhanced Care Clinic billing teams must ensure prior authorization is obtained for all H2019 (therapeutic behavioral services, per 15 minutes) procedures before submitting claims to Connecticut Medicaid. Update billing system to require prior auth verification for this code. Verify provider fee schedules at www.ctdssmap.com under Provider Fee Schedule Download. Failure to obtain prior authorization will result in claim denials.

Affected Billing Codes

H2019