MedicaidAdministrativeMedium impact
Hospital Monthly Important Message - 01.11.2021 pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Physical Therapy·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) updated 2021 HCPCS codes, increased outlier threshold from $5,075 to $5,300, removed prior authorization for electroconvulsive therapy (CPT 90870), and changed telemedicine billing to use appropriate place of service codes instead of POS 02.
Action Required
For Connecticut Medicaid claims effective January 1, 2021: Billing team must update telemedicine claims to use appropriate place of service codes instead of POS 02, continue using modifier 95 (home) or GT (facility). Remove prior authorization requirements for CPT 90870 (electroconvulsive therapy). Update outlier threshold calculations to $5,300. Monitor for updated HCPCS codes when system updates are released.