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Ambulatory Withdrawal Management Billing Guidelines pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Nov 15, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has updated billing guidelines for Ambulatory Withdrawal Management services (H0014), establishing specific time-based billing units. Services under 30 minutes are not billable, and hourly units must be billed based on exact time ranges (30-89 minutes = 1 hour, 90-149 minutes = 2 hours, etc.).

Action Required

Action needed
Immediately: Billing teams at Behavioral Health Clinics, Enhanced Care Clinics, and Outpatient Drug and Alcohol Abuse Centers must update billing procedures for HCPCS code H0014. Configure billing system to enforce time-based unit billing: 30-89 minutes = 1 unit, 90-149 minutes = 2 units, 150-209 minutes = 3 units, 210-239 minutes = 4 units. Block billing for services under 30 minutes as these are non-billable. Train staff on accurate time documentation requirements.

Affected Billing Codes

H0014