MedicaidBilling CodesMedium impact
Additional Guidance on the Use of the Home Health SOC/ROC and Recertification Service Codes for CHC, ABI, PCA and Autism Waiver Clients pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Apr 9, 2018
We identified it
Jun 20, 2026
Summary
This policy provides updated guidance on when home health agencies should use Start of Care/Resumption of Care code T1001 versus 60-day recertification code G0162 for waiver clients, including specific billing scenarios after hospitalizations and recommendations for annual prior authorizations.
Action Required
Immediately: Home health billing teams must update billing procedures to use T1001 for ROC visits when waiver clients return from hospitalization, and G0162 for 60-day recertifications within the required windows. Request annual prior authorizations for minimum 12 units of recertification visits for CHC, ABI, PCA and Autism waiver clients. Update EVV system scheduling to reflect proper code usage.