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MedicaidReimbursementLow impact

2025.81 - Rate Increase for PRTFs

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

Summary

Connecticut Medicaid increased the per diem reimbursement rate for Psychiatric Residential Treatment Facilities (PRTFs) using procedure code T2048 from the previous rate to $1,040.00 per day. This rate increase takes effect January 1, 2026 and is intended to help facilities with staffing costs and service quality improvements.

Action Required

Action needed
By January 1, 2026: Billing team must update fee schedules in billing system to reflect new per diem rate of $1,040.00 for HCPCS code T2048 for Connecticut Medicaid patients at Psychiatric Residential Treatment Facilities. Verify system automatically applies correct rate for dates of service on or after January 1, 2026.

Affected Billing Codes

T2048