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Updated Guidance Regarding Multi-disciplinary Examinations pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, Psychiatry +1 more·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut DSS updated billing guidelines for Multi-Disciplinary Examinations (MDEs) for HUSKY Health children in DCF custody, superseding previous 2015 guidance. The policy specifies required procedure codes, billing requirements, and reimbursement methods for medical, dental, and behavioral health components of MDEs.

Action Required

Action needed
Connecticut providers only: If contracted with DCF for MDE services, update billing procedures to use specified CPT codes (99381-99395 for medical, 90791/90792/96101/96116/96118 for behavioral, D0190 for dental) with required ICD-10 code Z65.3. FQHCs must use T1015 with appropriate component codes. Hospitals use specified revenue center codes. Complete CT BHP registration before behavioral health MDE claims.

Affected Billing Codes

99381
99382
99383
99384
99385
99391
99392
99393
99394
99395
D0190
90791
90792
96101
96116
96118
T1015
G0463
Z65.3