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MedicaidAdministrativeMedium impact

Change in “Katie Beckett” – Model Waiver Claims Processing pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Apr 4, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Effective April 4, 2018, Home Health providers can now bill procedure code T1016 (Case Management) for Katie Beckett Model Waiver clients without the attending physician being enrolled in Connecticut Medicaid. Previously denied claims with EOB code 1033 should be resubmitted for reimbursement.

Action Required

Action needed
Immediately: Home Health billing teams should resubmit all previously denied claims for Katie Beckett Model Waiver clients that received EOB code 1033 'Attending physician not enrolled on date of service' when billing procedure code T1016 (Case Management). Update billing system notes that T1016 no longer requires attending physician enrollment in Connecticut Medicaid for this specific waiver program.

Affected Billing Codes

T1016