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Important Changes to Billing Instructions for Home Health Nursing Evaluation and Therapy Services for CHC, ABI and PCA Waiver Members pdf
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid requires home health therapy and nursing services for waiver program members to be billed through the Santrax EVV system using specific HCPCS codes (G0151, G0152, G0153, G0162) and Revenue Center Codes starting January 1, 2018. Claims not submitted through Santrax will be denied with EOB code 0630.
Action Required
By January 1, 2018: Billing team must configure Santrax EVV system for all Connecticut waiver program members (CHC, ABI, PCA) requiring home health services. Update billing workflows to use HCPCS codes G0151-G0153 and G0162 with corresponding Revenue Center Codes 424, 434, 444. Ensure all therapy services are on member care plans and contact case managers for prior authorization. Claims submitted outside Santrax system will be denied with EOB code 0630.