MedicaidBilling CodesMedium impact
Updated Guidance for Billing Medical Services Performed in Federally Qualified Health Centers pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice·Provider Bulletin
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid FQHCs must now include HCPCS code T1015 along with valid procedure codes when billing medical services. Starting July 1, 2019, all claims require a performing provider NPI, with specific requirements for nutritional and acupuncture services.
Action Required
Immediately: FQHC billing teams must update billing procedures to include HCPCS code T1015 with all medical service claims along with valid CPT/HCPCS procedure codes. Ensure all claims include performing provider NPI numbers. For nutritional services by registered dieticians or acupuncture services by licensed acupuncturists, list an enrolled FQHC health professional as the performing provider. Claims without proper performing provider information will be denied with EOB codes 0231, 1011, or 1010.