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Autism Waiver Program and Electronic Visit Verification pdf

Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Mar 3, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Department of Social Services is implementing Electronic Visit Verification (EVV) for Autism waiver services effective March 3, 2019. Providers offering specific autism services must use the Santrax system to electronically verify visit times, and claims will be denied without proper EVV documentation.

Action Required

Action needed
By March 3, 2019: Providers offering autism waiver services (codes 1302Z, 1304Z, 1396Z, 1404Z, H2019) must complete mandatory Santrax system training and implement Electronic Visit Verification. Caregivers must check-in and check-out for all visits using phone, mobile app, or device. Update billing workflows to ensure all claims match confirmed visits in Santrax system. Claims without proper EVV documentation will be denied with specific EOB codes (3327, 3328, 0047, 3329).

Affected Billing Codes

H2019