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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 visit requirements are now mandatory for all initial home health services and certain durable medical equipment (DME) orders for Connecticut Medicaid (HUSKY Health) members, effective July 1, 2017. Providers must conduct qualifying face-to-face encounters within specific timeframes and maintain proper documentation to avoid claim denials.

Action Required

Action needed
Immediately for all Connecticut Medicaid claims: Providers must conduct face-to-face visits for initial home health orders (within 90 days before or 30 days after service start) and DME orders (within 6 months before prescription date). Document encounters in medical records, communicate findings to ordering physicians, and provide documentation to home health agencies/DME suppliers. Billing team must verify face-to-face documentation exists before submitting claims to prevent denials.