MedicaidCoverageMedium impact
Coverage for Screening, Brief Intervention and Referral to Treatment pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) reminds providers about coverage for SBIRT services using CPT codes 99408 and 99409. These services can be billed on the same date as E&M visits with modifier 25, and specific documentation requirements must be met.
Action Required
Immediately: Billing team must ensure Connecticut Medicaid claims for SBIRT services use CPT 99408 ($22.40 for 15-30 minutes) or 99409 ($43.01 for >30 minutes). When billing same-day E&M visits, add modifier 25 to the E&M code. Providers must document screening tool used, score obtained, time spent, and actions taken. FQHCs should use appropriate SBI code with T1015. Ensure smoking cessation counseling uses CPT 99406 or 99407 instead.