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MedicaidReimbursementMedium impact

2025.80 - Update to the Implementation of Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has updated the reimbursement rate for crisis intervention services (H2011) at Children's Mental Health Urgent Crisis Centers, effective October 1, 2025. Claims with higher billed amounts than the new allowed rate will be retroactively adjusted in January 2026.

Action Required

Action needed
Before January 23, 2026: Billing teams serving Connecticut Medicaid patients at Children's Mental Health Urgent Crisis Centers must download the updated Clinic and Outpatient Hospital Behavioral Health fee schedule from www.ctdssmap.com to review new rates for H2011. Ensure Place of Service code 20 is used for all UCC services. Monitor for retroactive claim adjustments by Gainwell Technologies for overpaid claims.

Affected Billing Codes

99204
99215
90791
90792
H2011