MedicaidBilling CodesLow impact
New Proc/Mod List Codes for Nursing Management and Evaluation of the Plan of Care under the Autism, Acquired Brain Injury (ABI), Connecticut Home Care (CHC) and Personal Care Assistance (PCA) Waiver Programs pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut DSS added new procedure/modifier list codes 39 and 40 for Nursing Management and Evaluation of Plan of Care services under Autism, ABI, CHC, and PCA waiver programs. These codes use G0162 with various modifiers and are retroactively effective from January 1, 2018.
Action Required
Connecticut providers only: Update billing systems to recognize Proc/Mod List codes 39 and 40 for G0162 billing under Autism, ABI, CHC, and PCA waiver programs. Ensure Electronic Visit Verification (EVV) compliance for these codes. Contact appropriate Case Management or Access Agencies for existing prior authorization discrepancies.