Back to dashboard
MedicaidReimbursementMedium impact

Increased Rates for All Home Health Aide Services - Revised pdf

Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid increased reimbursement rates by 6% for home health aide services (HCPCS T1004 and T1021) effective retroactively to August 1, 2021. Providers must update their billing systems and resubmit previously paid claims at lower rates to receive automatic adjustments.

Action Required

Action needed
Immediately: Home health agencies must update their usual and customary rates in billing systems for T1004 ($7.11) and T1021 ($32.31) for dates of service August 1, 2021 forward. For EVV users: Update Master Rates in Santrax system before billing. For claims already submitted at old rates: Recoup via CMAP portal or 837 transaction, roll back in EVV, and resubmit to obtain new rates. Gainwell will automatically adjust paid claims where billed amount equals or exceeds new allowed amount.

Affected Billing Codes

T1004
T1021