MedicaidBilling CodesMedium impact
2024.14 - Provider Bulletin Addition of Modifier PDF
Connecticut Medicaid (HUSKY Health)·CT · Emergency Medicine·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires ambulance providers to use specific 2-digit "D" modifiers when transporting pediatric patients to DCF-licensed urgent crisis centers instead of emergency departments. Five new modifiers (DD, ED, HD, PD, RD) must be used based on the origin and destination sites.
Action Required
Immediately: Ambulance billing teams in Connecticut must update billing systems to use the appropriate 2-digit "D" modifiers (DD, ED, HD, PD, RD) when transporting Medicaid pediatric patients to the four specified DCF-licensed urgent crisis centers. Train staff on proper modifier selection based on origin/destination combinations. Coordinate with Medical Directors per CGS 19a-179f requirements before transport.