Back to dashboard
MedicaidAdministrativeHigh impact

Behavioral Health Clinician Groups and Individual Clinicians in Independent Practice FAQ pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Apr 11, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid requires all behavioral health providers (LCSWs, LADCs, LMFTs, LPCs, and psychologists) to complete a mandatory attestation form within 75 days of notification or face claim denials. The policy also clarifies billing rules for evaluation codes and therapy services.

Action Required

Action needed
Immediately: All Connecticut behavioral health providers must complete the required attestation form within 75 days of receiving notification letter from Gainwell. Log into provider portal, watch training video, review slides, and submit electronic attestation. Failure to complete will result in claim denials with EOB codes 1047, 1059, 1043, or 1046. Billing team must ensure CPT 90791 is limited to once per member per provider per calendar year unless clinically justified.

Affected Billing Codes

90791
90792
90847