MedicaidReimbursementMedium impact
Rates for Nursing Services for Home Health Pediatric Complex & High Tech Level of Care - Revised pdf
Connecticut Medicaid (HUSKY Health)·CT · Pediatrics·Reimbursement
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid increased reimbursement rates for pediatric complex care nursing services (S9123 and S9124) effective August 1, 2021, with rates increasing by approximately 29%. Claims will be automatically reprocessed for higher payments, and providers should bill usual and customary charges.
Action Required
Immediately: Home health billing teams in Connecticut should verify that usual and customary charges are being billed for HCPCS codes S9123 and S9124 with TG modifier for pediatric complex care services to ensure automatic reprocessing captures the higher rates. Review retroactive adjustments from Gainwell Technologies for claims back to August 1, 2021.