MedicaidCoverageMedium impact
Assessment Units Increase pdf
Connecticut Medicaid (HUSKY Health)·CT · Pediatrics·Provider Bulletin
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Assessment units for procedure code T1028 (Home environment assessment) have been increased from 8 to 32 units per day and per year for Birth to Three providers. Prior authorization is required for assessments exceeding 16 units per day.
Action Required
Birth to Three providers must update billing systems to allow up to 32 units per day and per year for T1028. Ensure prior authorization process is in place for assessments exceeding 16 units per day through Office of Early Childhood. Update fee schedule from Connecticut Medical Assistance Program website.