PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Connecticut Medicaid (HUSKY Health)Medicaid · Reimbursement · Provider Bulletin · CT · Psychiatry, PediatricsMedium impact

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

Effective date
Oct 1, 2025
Identified
Jun 20, 2026

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.

Get alerts when payers change rules like this one

We check Connecticut Medicaid (HUSKY Health) and other payers every day and email you when a change matches your specialty and state.

Get Connecticut Medicaid (HUSKY Health) alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Before 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.
02Ensure Place of Service code 20 is used for all UCC services.
03Monitor for retroactive claim adjustments by Gainwell Technologies for overpaid claims.

Codes mentioned

99204992159079190792H2011

Original notice

2025.80 - Update to the Implementation of Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger
ctdssmap.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account