MedicaidBilling CodesMedium impact
CMAP COVID-19 Response - TU Modifier – Overtime pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Mar 16, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medical Assistance Program temporarily adds modifier TU for overtime billing when caregivers provide more than 40 hours per week to HUSKY Health participants in specific waiver programs (ABI, CHC, MH, PCA). Overtime hours must be billed separately with the TU modifier and require prior authorization.
Action Required
Immediately for Connecticut Medicaid waiver services: Update billing system to include TU modifier for overtime services exceeding 40 hours per week. Create separate schedules and claim lines for overtime hours. Request prior authorization from Access Agency (PCA, ABI, CHC) or Advanced Behavioral Health (MH) before billing overtime. Update EVV system and Santrax rates to include TU modifier rates. Ensure claims and PA match exactly for proper reimbursement.