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MedicaidBilling CodesMedium impact

2023.54 Provider Bulletin - Multi-disciplinary Examinations for Medical - Behavioral Health and Dental Services pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, Psychiatry +2 more·Provider Bulletin
Effective date
Aug 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut DSS updated billing guidelines for Multi-Disciplinary Examinations (MDE) for children in DCF custody under HUSKY Health plan. Key changes include new dental procedure code D0191 effective August 1, 2023, required ICD-10 code Z65.3 for medical/behavioral components, and specific billing requirements by provider type.

Action Required

Action needed
By August 1, 2023: Update billing system to use procedure code D0191 instead of D0140 for MDE dental components. Ensure all MDE medical and behavioral health claims include ICD-10 diagnosis code Z65.3. Verify provider enrollment and DCF contracting requirements for MDE services. Update fee schedules and billing procedures for FQHCs, clinics, and hospitals per specific component requirements.

Affected Billing Codes

99381
99382
99383
99384
99385
99391
99392
99393
99394
99395
D0140
D0191
90791
90792
96116
96121
96130
96131
96132
96133
96136
96137
T1015
G0463
Z65.3