MedicaidReimbursementMedium impact
2023.75 Provider Bulletin - Reimbursement Rates for Nursing Services for HH Adult Complex & High Tech Level of Care PDF
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is increasing reimbursement rates for adult complex/high tech home health nursing services to match pediatric rates, effective January 1, 2024. Four HCPCS codes (S9123, S9124 with modifiers) will see rate increases ranging from $12.67 to $27.36 per service.
Action Required
By January 1, 2024: Billing team must update fee schedules in billing system for Connecticut Medicaid claims using HCPCS codes S9123 and S9124 with specified modifiers (TG, TG/TT, TG/TE, TG/TT/TE) to reflect new increased rates. Update rate tables to show S9123 TG at $59.17, S9123 TG/TT at $29.59, S9124 TG/TE at $50.06, and S9124 TG/TT/TE at $25.03. No changes needed to prior authorization process for services over 14 hours per week.