MedicaidReimbursementMedium impact
Autism Disorder Procedure Code 97153 Revised pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
The reimbursement rate for autism behavior treatment procedure code 97153 has increased from $9.68 to $11.25 per unit for Connecticut Medicaid. Additionally, Rehabilitation Clinics can no longer bill this code as it has been removed from their fee schedule.
Action Required
Immediately: Billing team must update fee schedules in billing system to reflect new rate of $11.25 per unit for CPT 97153 when billing Connecticut Medicaid. Rehabilitation Clinics must stop billing code 97153 entirely as it is now non-billable for their facility type. Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download.