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MedicaidReimbursementMedium impact

Rate Increase on Select Behavioral Health Services pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Reimbursement
Effective date
Nov 17, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is increasing reimbursement rates by 4% for select behavioral health services effective November 17, 2021. The increase applies to 65 specific procedure codes across autism, behavioral health clinic, psychology, and related services to help providers maintain access and quality of care.

Action Required

Action needed
No immediate action required by billing team. System updates are being processed automatically by Gainwell Technologies. Claims with detailed billed amounts greater than new allowed amounts will be retroactively adjusted in future mass adjustment. Continue billing usual and customary charges for affected behavioral health codes to ensure proper reprocessing when rate changes occur.

Affected Billing Codes

90785
90791
90792
90832
90833
90834
90836
90837
90838
90846
90847
90849
90853
90870
90875
90876
90880
90887
96110
96112
96113
96116
96121
96127
96130
96131
96132
96133
96136
96137
96156
96158
96159
96164
96165
96167
96168
96170
96171
97153
97158
99202
99203
99204
99205
99211
99212
99213
99214
99215
99241
99242
99243
99244
99245
99406
99407
99412
99442
99443
H0015
H0020
H0031
H0032
H0035
H0046
H2012
H2013
H2014
H2019
S9480
S9484
S9485
T1016
T1017
T2048