MedicaidAdministrativeMedium impact
2023.51 Provider Bulletin - Clinical Treatment Hours for SUD Intensive Outpatient and Partial Hospitalization Programs pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is reducing the minimum required clinical treatment hours for Substance Use Disorder (SUD) Intensive Outpatient and Partial Hospitalization programs effective July 1, 2023. Child IOP programs now require only 1 clinical hour (down from previous requirements), adult IOP programs require 2 clinical hours, and PHP programs require 3 clinical hours.
Action Required
By July 1, 2023: Billing teams at Behavioral Health Clinics, Enhanced Care Clinics, and Outpatient Drug and Alcohol Abuse Centers must update their documentation and billing practices to reflect the reduced minimum clinical hour requirements for SUD programs. Ensure child IOP programs document at least 1 clinical hour per day, adult IOP programs document at least 2 clinical hours per day, and PHP programs document at least 3 clinical hours per day. Update internal policies to supersede guidance from PB 2022-86 and PB 2023-09.