MedicaidBilling CodesLow impact
ABI Waiver Renewal Procedure Code Changes pdf
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Neurology·Provider Bulletin
Effective date
Dec 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut DSS has updated procedure codes for the ABI-II Waiver program. Code 1564P (Specialized Medical Equipment) was discontinued November 30, 2019, and replaced with 1397Z (Assistive Technology) effective December 1, 2019, which requires prior authorization up to $15,000 over three years.
Action Required
For providers serving Connecticut ABI-II Waiver patients: Stop billing code 1564P for specialized medical equipment. Use code 1397Z for assistive technology and obtain prior authorization from DSS before billing (maximum $15,000 over three years). Update billing system to flag 1397Z for prior auth requirement.