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CMAP COVID-19 Response - Temp Telemed Cov for Rehab Clinics pdf

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

Summary

Connecticut Medicaid temporarily expanded telemedicine coverage for rehabilitation clinics during COVID-19, allowing specific PT, OT, and speech therapy services to be provided via telemedicine to established patients only. Providers must use appropriate modifiers (GT for facility-based, 95 for home-based) and POS 02 for billing.

Action Required

Action needed
Immediately: Update billing system to allow telemedicine billing for listed PT/OT/SLP codes with modifiers GT (facility-based) or 95 (home-based) and POS 02 for Connecticut Medicaid patients. Train staff that evaluations, reevaluations, and group therapy are NOT eligible for telemedicine. Document medical necessity for all telemedicine services. Do not submit claims if telehealth service cannot be completed due to technical issues.

Affected Billing Codes

97010
97012
97014
97016
97022
97110
97112
97113
97129
97130
97533
92507
92521
92522
92523