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Connecticut Medicaid (HUSKY Health)Medicaid · Coverage · Provider Bulletin · CT · Psychiatry, PediatricsMedium impact

2024.16 - Provider Bulletin Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger PDF

Act
by Apr 1, 2024
Effective date
Apr 1, 2024
Identified
Jun 20, 2026

Summary

Connecticut Medicaid (CMAP) will begin reimbursing certified providers for children's mental health urgent crisis services effective April 1, 2024. Only DCF-licensed outpatient psychiatric clinics certified for these services can enroll and bill using specific CPT and HCPCS codes.

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What to do

by Apr 1, 2024 · 4 steps
01Providers must obtain DCF certification as an Outpatient Psychiatric Clinic for Children and certification for urgent crisis services.
02Update provider enrollment in CMAP Web Portal Demographic Maintenance panel and upload DCF certification documents.
03Billing team must configure system to accept new billing codes (96127, T1001, T1002, 90791, 90792, 90839, 90840, H2011) for children's mental health crisis services.
04Ensure documentation includes start/stop times for time-based codes.

Codes mentioned

96127T1001T100290791907929083990840H2011

Original notice

2024.16 - Provider Bulletin Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger PDF
ctdssmap.com · Always check the source before changing claims.
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