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Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans (Revised) pdf
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Sep 13, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid clarifies billing instructions for home health therapy services, adding specific HCPCS codes G0151, G0152, and G0153 for PT/OT/SLP recertification reviews, and establishes Revenue Center Codes for evaluations and services. Care plan recertifications must occur every 60 days with proper documentation.
Action Required
Immediately for Connecticut providers: Home health agencies must update billing systems to use Revenue Center Codes 424/434/444 for PT/OT/SLP evaluations, RCC 421/431/441 for therapy services, and new HCPCS codes G0151/G0152/G0153 with RCC 580 for recertification reviews. Ensure care plan recertifications occur every 60 days with proper documentation. Claims not following these instructions must be recouped and resubmitted.