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Updated Telemedicine Guidance for PT and OT Services pdf

Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Dec 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid expands telemedicine coverage for Physical Therapy and Occupational Therapy services, allowing 13 specific PT/OT procedure codes to be billed via real-time audio-video telemedicine during the COVID-19 emergency period. This applies retroactively to March 20, 2020 and includes evaluation, re-evaluation, and treatment codes for both independent practices and hospital outpatient settings.

Action Required

Action needed
Immediately: Billing teams at PT/OT practices should verify their systems can bill the 14 covered telemedicine PT/OT codes (97161-97168, 97530, 97535, 97750, 97755, 97760, 97761) for Connecticut Medicaid patients when services are provided via real-time audio-video technology. Hospital outpatient departments must ensure proper Revenue Center Codes (421, 424, 431, 434) are appended to telemedicine PT/OT claims. Update encounter forms to indicate telemedicine delivery method and ensure documentation supports clinical appropriateness.

Affected Billing Codes

97161
97162
97163
97164
97165
97166
97167
97168
97530
97535
97755
97760
97761
97750