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2023.23 Provider Bulletin - Guidance for School-Based Child Health Services Rendered via Telehealth under CMAP pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Physical Therapy, Family Medicine +1 more·Provider Bulletin
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has updated telehealth guidance for School-Based Child Health services, establishing specific procedure codes eligible for telemedicine and telephonic billing with frequency limitations. The policy provides a comprehensive table of covered telehealth services including behavioral health, therapy, and evaluation codes with specific restrictions on visit frequency.

Action Required

Action needed
By May 12, 2023: Billing team must update telehealth billing procedures to comply with Connecticut Medicaid frequency limitations (e.g., group therapy limited to 1 day per week, intensive outpatient programs limited to 2 days per week). Verify patient eligibility for HUSKY A, B, C, or D before billing telehealth services. Update billing system to track visit frequency for applicable codes to prevent over-billing violations.

Affected Billing Codes

90791
90832
90834
90836
90838
90846
90847
90849
90853
90951
90970
92507
92521
92522
92523
96110
96127
96156
96158
96159
96160
96161
96164
96165
96167
96168
96170
96171
97110
97112
97116
97129
97130
97153
97542
99202
99203
99204
99205
99211
99212
99213
99214
99215
99231
99232
99233
99234
99235
99236
99238
99239
99242
99243
99244
99245
99252
99253
99254
99255
99281
99282
99283
99284
99285
99291
99292
H0015
H0031
H0035
H0046
H2012
H2013
H2014
H2019
S9480
T1016
T1017