MedicaidPrior AuthMedium impact
Personal Care Assistance (PCA) Service Authorization Changes and Reminders pdf
Connecticut Medicaid (HUSKY Health)·CT · General Practice·Prior Authorization
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut DSS implemented new procedure code/modifier list code 41 for Personal Care Services, effective January 1, 2018, allowing providers to bill 1021Z U2 or 1021Z U2 TT with increased flexibility for one-time PCA services in multi-client households. Case management agencies are now authorizing list codes instead of individual codes to provide billing flexibility when primary clients are hospitalized or absent.
Action Required
Billing team should review current PCA service authorizations to understand whether list codes or individual procedure codes are authorized. Access the updated Procedure Code Crosswalk via ctdssmap.com to verify applicable codes for each authorization. Ensure claims submission uses appropriate codes based on whether single or multiple clients are being served in each household.