MedicaidReimbursementMedium impact
DSS Important Message - Private Psychiatric Residential Treatment Facility Rate Increase
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Reimbursement
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Department of Social Services (DSS) is proposing to increase reimbursement rates for private psychiatric residential treatment facilities (PRTFs) under Medicaid effective January 1, 2026. This rate increase requires a Medicaid State Plan Amendment with public notice and comment period.
Action Required
Before January 1, 2026: Billing team should monitor the Connecticut DSS Medicaid State Plan Amendment (SPA 25-J) for final approval and updated rate schedules at https://portal.ct.gov/DSS/Health-And-Home-Care/Medicaid-State-Plan-Amendments. Update billing system with new PRTF rates once finalized to ensure proper reimbursement from Connecticut Medicaid.