MedicaidBilling CodesHigh impact
Important Changes to Evaluation and Assessment Services for Home Health Care Services - Addition of Review of Care Plan Code-G0162 (Revised) pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Apr 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) revised billing requirements for home health evaluations and care plan reviews. Key changes include using HCPCS G0162 for 60-day recertification reviews (paid at 25% of T1001 rate) and eliminating modifier TD requirement for start/resumption of care evaluations.
Action Required
Immediately for Connecticut providers: Update billing system to use HCPCS G0162 for 60-day care plan recertifications (maximum 6 units every 60 days). Stop using modifier TD with T1001 for start/resumption of care evaluations. Use modifiers TT, TG, or TH as appropriate with both T1001 and G0162. Bill G0162 separately from skilled nursing services during same visit. Resubmit any previously submitted claims that don't follow these guidelines to avoid recoupment.