MedicaidCoverageMedium impact
2025.87 - January 2026 Updates to the CMAP Telehealth Table - Subsequent Hospital Care & Nursing Facility Care
Connecticut Medicaid (HUSKY Health)·CT · Internal Medicine, Family Medicine, Geriatrics·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Effective January 1, 2026, Connecticut Medicaid (CMAP) is removing telehealth frequency limits for subsequent hospital care visits (previously limited to one telehealth visit every 3 days) and nursing facility care visits (previously limited to one telehealth visit every 14 days). Providers can now bill these telehealth services without frequency restrictions while maintaining clinical appropriateness.
Action Required
Before January 1, 2026: Billing team must update billing system to remove frequency limits for telehealth CPT codes 99231-99233 (subsequent hospital care) and 99307-99310 (nursing facility care) for Connecticut Medicaid patients. Update billing edits to allow these codes to be billed via telehealth without the previous 3-day and 14-day restrictions. Ensure providers understand clinical appropriateness standards still apply.