MedicaidReimbursementMedium impact
Birth to Three Fee Schedule Revision Announcement pdf
Connecticut Medicaid (HUSKY Health)·CT · Pediatrics, Physical Therapy, Occupational Therapy·Reimbursement
Effective date
Nov 1, 2017
We identified it
Jun 20, 2026
Summary
The Department of Social Services has revised the Birth to Three Fee Schedule with retroactive changes to November 1, 2017. Key updates include increased reimbursement for hearing aid supplies (V5267) to $65.00, addition of orthotic supply code L9900 requiring prior authorization, and increased payment for early intervention services (T1027) from $18.25 to $21.00 per unit.
Action Required
Immediately: Billing team must update fee schedules to reflect new rates - V5267 at $65.00, T1027 at $21.00 per unit. Add L9900 to system requiring prior authorization for all claims at actual acquisition cost plus shipping. Update billing software to require prior auth for V5267 hearing aid supplies over $65.00. Ensure T1027 uses TF modifier when more than 6 units per practitioner per day are billed. Resubmit any denied claims for these codes from November 1, 2017 forward.