MedicaidCoverageMedium impact
Reimbursement for SUD Inpatient at State Operated and Private Psychiatric Hospitals pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid will begin reimbursing inpatient substance use disorder (SUD) treatment at state-operated and private psychiatric hospitals for all Medicaid members with no age restrictions, effective April 1, 2022. Hospitals must obtain prior authorization from Beacon Health Options and comply with ASAM criteria, with specific revenue center codes required for billing.
Action Required
By March 31, 2022: Psychiatric hospitals providing SUD inpatient treatment must sign and return provider enrollment addendum and acknowledgement form to Gainwell Technologies. Beginning April 1, 2022: Use specific revenue center codes (100, 124, 126, 129) for billing SUD inpatient services. Obtain prior authorization from Beacon Health Options for all new admissions. Ensure treatment plans comply with ASAM criteria by March 31, 2024 or claims will not be paid.