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New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

New face-to-face encounter requirements now mandatory for all initial home health services and certain DME orders for HUSKY Health Medicaid members, effective July 1, 2017. Physicians must conduct face-to-face visits within specific timeframes and provide documentation to home health agencies and DME providers.

Action Required

Action needed
Immediately: Providers must ensure face-to-face encounters are completed and documented for all initial home health services (within 90 days before or 30 days after start of service) and certain DME orders (within 6 months before prescription date). Update EMR templates to include face-to-face documentation requirements. Provide documentation to home health agencies and DME suppliers before service delivery. Claims may be denied during audits without proper face-to-face documentation.