MedicaidAdministrativeHigh impact
Update Regarding Claim Denials for EVV for DOS 07.01.2024 & forward
Connecticut Medicaid (HUSKY Health)·CT·Coding
Effective date
Nov 15, 2024
We identified it
Jun 20, 2026
Summary
Connecticut DSS has corrected claim denials for Electronic Visit Verification (EVV) mandated home health services with dates of service July 1, 2024 and forward. Starting November 15, 2024, specific EVV-related edits that were previously set to 'post and pay' will now be set to 'denied' status if visits are not properly verified in the system.
Action Required
By November 15, 2024: Home health providers must ensure all EVV visits are properly loaded into MMIS before claim submission. Allow 48 hours for visits to load from Sandata Agency Management or Alternate EVV systems. For non-waiver clients, verify client ID is entered in both required locations in Sandata. Claims with unverified visits will be denied with EOBs 3331, 3332, 3327, or 3328.