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.
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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.
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