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MedicaidReimbursementMedium impact

Rate Increase on Select Behavioral Health Services pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is increasing reimbursement rates for select behavioral health services effective January 1, 2023. Psychiatric Residential Treatment Facilities will receive $792.46 per diem for code T2048, and home-based behavioral health services will see rate increases for codes H2019 and T1017.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system for Connecticut Medicaid claims to reflect new rates: T2048 at $792.46 per diem, H2019 at $22.49 (or $36.86 with HK modifier), and T1017 at $22.49 (or $36.86 with HK modifier) for dates of service January 1, 2023 and forward. Download updated fee schedules from www.ctdssmap.com. For PRTFs billing T2048, ensure compliance documentation for director of nursing staffing requirements and submit annual compliance reports by October 1st.

Affected Billing Codes

T2048
H2019
T1017