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COVID-19 Response - Behavioral Health Telephonic - Audio Only - Billing Guidance pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
May 7, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has updated billing guidance for audio-only behavioral health services during COVID-19, replacing telephone assessment codes 98967-98968 with standard psychotherapy codes 90791-90838, plus office visit codes 99201-99215, all requiring modifier CR. These services are now reimbursed at the same rate as in-person visits when provided via telephone only.

Action Required

Action needed
Immediately for Connecticut Medicaid: Stop billing codes 98967 and 98968 for telephone behavioral health services as of May 6, 2020. Starting May 7, 2020: Use standard psychotherapy codes (90791-90838) and office visit codes (99201-99215) with modifier CR appended to all audio-only behavioral health claims. Update billing system to automatically add CR modifier for telephonic behavioral health services. Train billing team that these services will be paid at same rate as in-person visits during COVID-19 emergency period.

Affected Billing Codes

98967
98968
90791
90792
90832
90833
90834
90836
90837
90838
90847
90846
S9484
S9485
99201
99202
99203
99204
99205
99211
99212
99213
99214
99215