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Sunsetting Home & Community Based Waiver Program pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Nov 12, 2023
We identified it
Jun 20, 2026
Summary
Connecticut is ending COVID-19 emergency flexibilities for Home and Community Based waiver programs effective November 12, 2023. The TU modifier for overtime billing will be removed, virtual assessments will no longer be allowed, and Electronic Visit Verification requirements will be reinstated for companion services.
Action Required
By November 12, 2023: Billing team must remove TU modifier from all specified waiver service codes in billing system. Stop billing overtime for personal care services, recovery assistant services, companion services, and respite care. Reinstate Electronic Visit Verification requirements for companion services code 1536P. Update billing rules to require in-person assessments only - no virtual assessments allowed. Claims with TU modifier or virtual services after this date will be denied.